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General NPI Number Information
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NPI Number | 1285639914
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HOME CARE SERVICES,INC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 106 SEBETHE DR
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City | CROMWELL
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State | CT
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Zip | 06416-1094
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Country | US
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Telephone | 800-253-3738
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 418711 SUITE 700
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City | BOSTON
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State | MA
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Zip | 02241-8711
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Country | US
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Telephone | 800-879-6137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CFO
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Name | MICHAEL SHAPIRO
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Credential |
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Telephone | 800-879-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | N/A
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License Number State | CT
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