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General NPI Number Information
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NPI Number | 1861439655
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Entity Type | Organization
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Legal Business Name | PHYSICIANS HOMECARELLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 651 ORCHARD ST SUITE 300
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City | NEW BEDFORD
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State | MA
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Zip | 02744-1008
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Country | US
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Telephone | 508-994-3433
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Fax | 508-994-5420
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Provider Business Mailing Address
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Address Line | 2 ADAMS PL SUITE 405
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City | QUINCY
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State | MA
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Zip | 02169-7456
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Country | US
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Telephone | 781-930-3500
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Fax | 781-930-3570
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN J TALBOT
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Credential |
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Telephone | 781-930-3500
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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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