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General NPI Number Information
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NPI Number | 1457998031
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Entity Type | Organization
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Legal Business Name | EFFECTIVE HOME CARE LLC
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 181 KENNEDY DR APT 112
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City | MALDEN
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State | MA
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Zip | 02148-3443
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Country | US
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Telephone | 508-215-7481
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Fax |
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Provider Business Mailing Address
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Address Line | 80 MAPLE STREET
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-666-8143
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Fax | 781-438-2903
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MRS. PHIONAH NANTABA
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Credential |
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Telephone | 617-458-0008
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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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