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General NPI Number Information
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NPI Number | 1972508000
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Entity Type | Organization
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Legal Business Name | MEDFORD VISITING NURSING ASSOCIATION
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 37 BROADWAY STE 2
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City | ARLINGTON
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State | MA
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Zip | 02474-5552
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Country | US
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Telephone | 781-643-6090
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Fax | 781-391-9877
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Provider Business Mailing Address
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Address Line | 37 BROADWAY STE 2
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City | ARLINGTON
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State | MA
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Zip | 02474-5552
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Country | US
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Telephone | 781-643-6090
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Fax | 781-648-6814
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Authorized Official
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Title or Position | CEO
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Name | KIM AROUTH
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Credential | RN
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Telephone | 781-643-6090
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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 | N/A
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License Number State | MA
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Taxonomy #2
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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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