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General NPI Number Information
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NPI Number | 1700338431
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Entity Type | Organization
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Legal Business Name | INSPIRATION HOMECARE, LLC
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 12 STONECREST DR
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City | SAUGUS
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State | MA
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Zip | 01906-1475
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Country | US
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Telephone | 781-266-6093
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Fax | 857-445-0154
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Provider Business Mailing Address
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Address Line | 12 STONECREST DR
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City | SAUGUS
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State | MA
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Zip | 01906-1475
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Country | US
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Telephone | 781-266-6093
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Fax | 857-445-0154
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ALAIN FABO
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Credential | CPA
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Telephone | 781-266-6093
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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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