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General NPI Number Information
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NPI Number | 1518363431
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Entity Type | Organization
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Legal Business Name | RESTORATION HEALTH CARE INC
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 484 LOWELL ST SUITE 2B-1
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City | PEABODY
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State | MA
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Zip | 01960-7934
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Country | US
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Telephone | 978-587-2040
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Fax | 978-587-3182
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Provider Business Mailing Address
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Address Line | 484 LOWELL ST SUITE 2B-1
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City | PEABODY
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State | MA
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Zip | 01960-7934
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Country | US
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Telephone | 978-587-2040
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Fax | 978-587-3182
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Authorized Official
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Title or Position | CEO
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Name | CHRISTIAN ONWUOGU
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Credential |
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Telephone | 617-538-8254
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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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