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General NPI Number Information
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NPI Number | 1942927405
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Entity Type | Organization
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Legal Business Name | SENIOR CARE QUALITY LIFE CORP
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 94 PERKINS ST APT 1
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City | SOMERVILLE
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State | MA
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Zip | 02145-3365
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Country | US
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Telephone | 617-470-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 94 PERKINS ST APT 1
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City | SOMERVILLE
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State | MA
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Zip | 02145-3365
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Country | US
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Telephone | 617-470-9096
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS JINXIANG MA
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Credential | CNA
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Telephone | 617-470-9096
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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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