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General NPI Number Information
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NPI Number | 1699590729
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Entity Type | Organization
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Legal Business Name | LATIN AMERICAN HOME AND HEALTHCARE SERVICES
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 735 MORRISSEY BLVD STE 12A
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City | DORCHESTER
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State | MA
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Zip | 02122-3406
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Country | US
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Telephone | 978-317-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 81 VICTORY RD
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City | DORCHESTER
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State | MA
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Zip | 02122-2627
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Country | US
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Telephone | 978-317-6989
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DOMINICO CABRAL
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Credential | NURSES
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Telephone | 978-317-6989
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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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