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General NPI Number Information
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NPI Number | 1942081435
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Entity Type | Organization
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Legal Business Name | EMMANUEL PROPERTIES LLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 38 MARBLE ST UNIT 2
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City | REVERE
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State | MA
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Zip | 02151-1954
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Country | US
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Telephone | 781-520-3587
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Fax | 781-626-5248
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Provider Business Mailing Address
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Address Line | 38 MARBLE ST UNIT 2
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City | REVERE
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State | MA
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Zip | 02151-1954
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Country | US
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Telephone | 781-820-4158
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JONATHAN BERAKAH
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Credential | MSM
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Telephone | 781-820-4158
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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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