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General NPI Number Information
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NPI Number | 1679938203
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Entity Type | Organization
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Legal Business Name | PRIME CARE HOME SERVICES LLC
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Dates
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Enumeration Date | 12/26/2015
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 140 WOOD RD STE 1007
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City | BRAINTREE
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State | MA
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Zip | 02184-2507
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Country | US
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Telephone | 781-428-3141
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Fax | 781-428-3183
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Provider Business Mailing Address
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Address Line | 11 DEAN DR
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City | LOWELL
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State | MA
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Zip | 01854-1491
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Country | US
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Telephone | 781-428-3141
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS PENINNAH W MUIRURI
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Credential |
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Telephone | 781-428-3141
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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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