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General NPI Number Information
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NPI Number | 1609201698
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Entity Type | Organization
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Legal Business Name | CARE HEALTH SYSTEMS
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 158 MAIN ST
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City | SPENCER
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State | MA
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Zip | 01562-2260
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Country | US
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Telephone | 508-885-2512
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Fax |
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Provider Business Mailing Address
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Address Line | 158 MAIN ST
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City | SPENCER
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State | MA
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Zip | 01562-2260
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Country | US
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Telephone | 508-885-2512
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MR. KEGGAH GHISHIJOH
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Credential |
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Telephone | 508-885-2512
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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 | RN2280631
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License Number State | MA
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