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General NPI Number Information
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NPI Number | 1235475336
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Entity Type | Organization
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Legal Business Name | HESTIA CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 275 GROVE ST SUITE 2-400
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City | AUBURNDALE
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State | MA
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Zip | 02466-2272
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Country | US
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Telephone | 617-910-2200
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Fax | 800-650-9383
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Provider Business Mailing Address
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Address Line | 26 SAINT PAUL ST #8
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City | BROOKLINE
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State | MA
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Zip | 02446-6573
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Country | US
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Telephone | 617-910-2205
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Fax | 800-650-9383
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Authorized Official
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Title or Position | CEO
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Name | BALU RUDRA
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Credential |
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Telephone | 617-910-2205
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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 | 8282
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License Number State | MA
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