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General NPI Number Information
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NPI Number | 1922812767
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Entity Type | Organization
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Legal Business Name | SENIOR FIRST ELEVATION HOMECARE AGENCY,INC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 33 DOVER ST
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City | BROCKTON
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State | MA
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Zip | 02301-5973
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Country | US
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Telephone | 551-358-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 75 N MAIN ST # 645
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City | RANDOLPH
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State | MA
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Zip | 02368-4605
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Country | US
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Telephone | 551-358-3354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDITH NELSON
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Credential | AS,BS,PH,MPH
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Telephone | 551-358-3354
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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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