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General NPI Number Information
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NPI Number | 1710593868
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Entity Type | Organization
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Legal Business Name | ABLE HEALTHCARE
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 1111 ELM ST STE 17
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1540
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Country | US
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Telephone | 413-417-7538
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Fax | 413-417-7543
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Provider Business Mailing Address
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Address Line | 1111 ELM ST STE 17
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1540
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Country | US
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Telephone | 413-417-7538
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Fax | 413-417-7543
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELPHAS MULAMBA ANZEZE
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Credential |
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Telephone | 413-204-3771
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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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