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General NPI Number Information
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NPI Number | 1225791874
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Entity Type | Organization
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Legal Business Name | SSA HOME CARE, INC.
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 75 PALMER ST APT 605
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City | QUINCY
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State | MA
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Zip | 02169-3340
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Country | US
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Telephone | 617-416-7587
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Fax |
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Provider Business Mailing Address
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Address Line | 75 PALMER ST APT 605
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City | QUINCY
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State | MA
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Zip | 02169-3340
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Country | US
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Telephone | 617-416-7587
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIDGET A MCDONAGH
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Credential | WBE
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Telephone | 617-416-7587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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