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NPI 1558674135

NPI 1558674135 : ATLANTIC NURSING AND HOMECARE, INC : BRAINTREE, MA

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General NPI Number Information
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    NPI Number           |    1558674135
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATLANTIC NURSING AND HOMECARE, INC 
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Dates
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    Enumeration Date     |    07/23/2010
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    Last Update Date     |    07/23/2010
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Provider Practice Location Address
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    Address Line         |    73 HOLBROOK AVE 
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    City                 |    BRAINTREE
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    State                |    MA
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    Zip                  |    02184-6506
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    Country              |    US
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    Telephone            |    781-864-3406
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    Fax                  |    781-848-3473
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Provider Business Mailing Address
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    Address Line         |    73 HOLBROOK AVE 
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    City                 |    BRAINTREE
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    State                |    MA
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    Zip                  |    02184-6506
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    Country              |    US
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    Telephone            |    781-864-3406
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    Fax                  |    781-848-3473
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. NANCY ELINOR GUTHRIE 
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    Credential           |    
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    Telephone            |    781-864-3406
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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       |    7478
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    License Number State |    MA
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