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General NPI Number Information
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NPI Number | 1417347204
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Entity Type | Organization
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Legal Business Name | INFINITY HOMECARE LLC
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Dates
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Enumeration Date | 01/31/2015
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Last Update Date | 01/31/2015
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Provider Practice Location Address
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Address Line | 45 TOPSFIELD RD
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City | IPSWICH
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State | MA
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Zip | 01938-2047
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Country | US
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Telephone | 978-790-5276
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Fax | 978-633-0017
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Provider Business Mailing Address
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Address Line | 45 TOPSFIELD RD
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City | IPSWICH
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State | MA
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Zip | 01938-2047
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Country | US
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Telephone | 978-790-5276
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Fax | 978-633-0017
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | LISA JANE MCPARLAND
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Credential | LPN
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Telephone | 978-790-5276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | LN57380
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License Number State | MA
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