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General NPI Number Information
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NPI Number | 1306221684
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Entity Type | Organization
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Legal Business Name | SAINT ANTONY HOME HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 802 MAIN ST
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City | MELROSE
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State | MA
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Zip | 02176-2708
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Country | US
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Telephone | 781-600-5704
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Fax | 781-430-0593
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Provider Business Mailing Address
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Address Line | 4 BELMONT ST
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City | MALDEN
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State | MA
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Zip | 02148-7611
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Country | US
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Telephone | 781-600-5704
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Fax | 781-430-0593
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Authorized Official
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Title or Position | OWNER
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Name | ZAKARY THINGURI
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Credential |
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Telephone | 781-600-5704
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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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