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General NPI Number Information
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NPI Number | 1245752633
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS HOME CARE SERVICES OF MASSACHUSETTS
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 16 SHAKER RD
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2731
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Country | US
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Telephone | 413-209-8208
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Fax | 413-570-7252
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Provider Business Mailing Address
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Address Line | 16 SHAKER RD
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2731
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Country | US
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Telephone | 413-209-8208
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Fax | 413-570-7252
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. CESAR RUIZ
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Credential |
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Telephone | 413-209-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | MA
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