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General NPI Number Information
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NPI Number | 1568424927
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Entity Type | Organization
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Legal Business Name | COMMUNITY NURSE HOME CARE, INC
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 62 CENTER ST
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City | FAIRHAVEN
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State | MA
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Zip | 02719-3823
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Country | US
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Telephone | 508-992-6278
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Fax | 508-996-0781
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Provider Business Mailing Address
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Address Line | 62 CENTER ST
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City | FAIRHAVEN
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State | MA
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Zip | 02719-3823
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Country | US
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Telephone | 508-992-6278
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Fax | 508-996-0781
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LISA K PARENT
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Credential | RN, BS, MS
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Telephone | 508-992-6278
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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 | MA
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