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General NPI Number Information
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NPI Number | 1356780456
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Entity Type | Organization
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Legal Business Name | CROWN HOME HEALTHCARE & PSYCH SERVICE MA INC
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 320 CENTRAL ST UNIT A2
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City | SAUGUS
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State | MA
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Zip | 01906-2371
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Country | US
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Telephone | 781-233-2377
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Fax | 781-233-2399
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Provider Business Mailing Address
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Address Line | 320 CENTRAL ST UNIT A2
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City | SAUGUS
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State | MA
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Zip | 01906-2371
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Country | US
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Telephone | 781-233-2377
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Fax | 781-233-2399
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Authorized Official
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Title or Position | PRESIDENT
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Name | EGHE OSAWE
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Credential |
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Telephone | 781-215-3815
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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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