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NPI 1215312590

NPI 1215312590 : AFFORDABLE PRIORITY HOME HEALTH SERVICES LLC : ROSLINDALE, MA

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General NPI Number Information
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    NPI Number           |    1215312590
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFORDABLE PRIORITY HOME HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    07/28/2015
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    Last Update Date     |    08/03/2016
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Provider Practice Location Address
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    Address Line         |    43 CUMMINS HWY 
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    City                 |    ROSLINDALE
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    State                |    MA
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    Zip                  |    02131-2523
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    Country              |    US
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    Telephone            |    617-230-6824
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    Fax                  |    617-600-3555
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Provider Business Mailing Address
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    Address Line         |    43 CUMMINS HWY SUITE 3
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    City                 |    ROSLINDALE
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    State                |    MA
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    Zip                  |    02131-2523
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    Country              |    US
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    Telephone            |    617-230-6824
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    Fax                  |    617-600-3555
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. EMMANUEL M FOMBE 
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    Credential           |    
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    Telephone            |    617-230-6824
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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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