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NPI 1659284982

NPI 1659284982 : CLOSE TO HOME OF SOUTHERN MASSACHUSETTS LLC : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1659284982
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLOSE TO HOME OF SOUTHERN MASSACHUSETTS LLC 
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Dates
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    Enumeration Date     |    09/26/2026
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    Last Update Date     |    09/26/2026
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Provider Practice Location Address
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    Address Line         |    7 WHITTIER PL STE 108 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02114-1408
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    Country              |    US
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    Telephone            |    508-266-5373
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7 WHITTIER PL STE 108 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02114-1408
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    Country              |    US
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    Telephone            |    508-266-5373
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     JACKELINE  NUNEZ 
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    Credential           |    
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    Telephone            |    401-301-4419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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