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General NPI Number Information
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NPI Number | 1609385541
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Entity Type | Organization
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Legal Business Name | HOUSECALL PHYSICIANS LLC
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 31 HOME DEPOT DR STE 283
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City | PLYMOUTH
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State | MA
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Zip | 02360-2669
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Country | US
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Telephone | 774-343-2432
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Fax |
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Provider Business Mailing Address
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Address Line | 31 HOME DEPOT DR STE 283
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City | PLYMOUTH
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State | MA
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Zip | 02360-2669
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Country | US
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Telephone | 319-400-6636
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Fax |
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Authorized Official
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Title or Position | STAFF PHYSICIAN
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Name | CHAITRA CHANNAPPA
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Credential | MD
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Telephone | 774-343-2432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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