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General NPI Number Information
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NPI Number | 1437009420
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Entity Type | Organization
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Legal Business Name | PRIMEWELL VENTURES INC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 5 MILITIA DR STE 202
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City | LEXINGTON
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State | MA
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Zip | 02421-4708
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Country | US
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Telephone | 781-999-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 100 INDEPENDENCE DR STE 7-918
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City | HYANNIS
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State | MA
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Zip | 02601-1898
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Country | US
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Telephone | 781-999-0204
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GRACE MUTOONI
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Credential |
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Telephone | 781-999-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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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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