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General NPI Number Information
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NPI Number | 1780042390
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Entity Type | Organization
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Legal Business Name | EPIC NURSING SERVICES LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 23 N PEARL ST
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City | BROCKTON
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State | MA
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Zip | 02301-1707
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Country | US
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Telephone | 774-776-2623
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Fax | 877-411-0803
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Provider Business Mailing Address
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Address Line | 23 N PEARL ST
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City | BROCKTON
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State | MA
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Zip | 02301-1707
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Country | US
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Telephone | 774-776-2623
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Fax | 877-411-0803
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Authorized Official
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Title or Position | OWNER/ ADMINISTRATOR
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Name | LEONARD THUO
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Credential |
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Telephone | 774-776-2623
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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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