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General NPI Number Information
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NPI Number | 1598062515
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Entity Type | Organization
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Legal Business Name | CLEARVIEW HOME CARE, LLC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 332 WASHINGTON ST SUITE 280
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City | WELLESLEY
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State | MA
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Zip | 02481-6219
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Country | US
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Telephone | 800-917-8006
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Fax | 800-917-8506
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Provider Business Mailing Address
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Address Line | 332 WASHINGTON ST SUITE 280
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City | WELLESLEY
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State | MA
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Zip | 02481-6219
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Country | US
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Telephone | 800-917-8006
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Fax | 800-917-8506
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GUSTAF E. LIPIN
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Credential |
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Telephone | 800-917-8006
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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 | 8107
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License Number State | MA
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