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General NPI Number Information
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NPI Number | 1740159490
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Entity Type | Organization
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Legal Business Name | VITALIS CARE GROUP LLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1001 SUFFIELD ST
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City | AGAWAM
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State | MA
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Zip | 01001-2997
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Country | US
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Telephone | 413-230-1693
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 SUFFIELD ST
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City | AGAWAM
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State | MA
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Zip | 01001-2997
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Country | US
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Telephone | 413-230-1693
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HAMZAH A ABBAS
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Credential |
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Telephone | 413-230-1693
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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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