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General NPI Number Information
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NPI Number | 1497614895
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Entity Type | Organization
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Legal Business Name | BOSTON LIFE-CARE LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 244 KENNEDY DR APT 103
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City | MALDEN
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State | MA
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Zip | 02148-3306
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Country | US
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Telephone | 781-513-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 244 KENNEDY DR APT 103
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City | MALDEN
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State | MA
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Zip | 02148-3306
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Country | US
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Telephone | 781-513-0038
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KUDAKWASHE FARAI KACHERE
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Credential |
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Telephone | 781-513-0038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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