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General NPI Number Information
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NPI Number | 1245047224
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Entity Type | Organization
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Legal Business Name | PRIVATUS CARE SOLUTIONS, INC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 25 MALL RD STE 415
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City | BURLINGTON
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State | MA
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Zip | 01803-4199
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Country | US
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Telephone | 617-275-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MALL RD STE 415
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City | BURLINGTON
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State | MA
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Zip | 01803-4199
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Country | US
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Telephone | 617-275-4050
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM MULLETT
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Credential |
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Telephone | 781-254-5127
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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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