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General NPI Number Information
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NPI Number | 1578141909
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Entity Type | Organization
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Legal Business Name | KAYDOLLY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 750 EAST AVE STE 17
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City | PAWTUCKET
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State | RI
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Zip | 02860-6245
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Country | US
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Telephone | 401-330-0824
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Fax |
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Provider Business Mailing Address
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Address Line | 28 PADELFORD ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-1714
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Country | US
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Telephone | 401-330-0804
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOLA ADESINA
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Credential | RN
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Telephone | 401-330-0824
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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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