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General NPI Number Information
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NPI Number | 1194410266
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Entity Type | Organization
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Legal Business Name | COUNTY HOMECARE AND STAFFING LLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 76 SUMMER ST STE 47
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City | FITCHBURG
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State | MA
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Zip | 01420-0200
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Country | US
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Telephone | 978-516-0464
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Fax |
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Provider Business Mailing Address
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Address Line | 456 ROLLSTONE ST
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City | FITCHBURG
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State | MA
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Zip | 01420-5215
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Country | US
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Telephone | 978-516-0464
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MILDRED OWINO
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Credential |
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Telephone | 978-516-0464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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