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NPI 1962637223

NPI 1962637223 : CULTURED CARE, INC. : SWANSEA, MA

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General NPI Number Information
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    NPI Number           |    1962637223
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    Entity Type          |    Organization 
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    Legal Business Name  |    CULTURED CARE, INC. 
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Dates
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    Enumeration Date     |    05/15/2009
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    Last Update Date     |    05/15/2009
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Provider Practice Location Address
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    Address Line         |    33 JAMES REYNOLDS RD STE E 
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    City                 |    SWANSEA
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    State                |    MA
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    Zip                  |    02777-3429
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    Country              |    US
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    Telephone            |    508-379-9060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33 JAMES REYNOLDS RD STE E 
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    City                 |    SWANSEA
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    State                |    MA
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    Zip                  |    02777-3429
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER/OWNER
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    Name                 |     PAULINE  GIANIOTIS 
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    Credential           |    
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    Telephone            |    508-379-9060
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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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