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NPI Code Detail

MEDICARE: KOMBIT HEALTH SYSTEMS LLC

MEDICARE: KOMBIT HEALTH SYSTEMS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2261QA0600XAdult Day Care Clinic/Center
3261QH0100XHealth Service Clinic/Center
4251E00000XHome Health Agency
5363L00000XNurse Practitioner

General Provider Information

NPI Number : 1841968203
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOMBIT HEALTH SYSTEMS LLC
Provider Business Mailing Address
First Line : 1272 BLUE HILL AVE
Second Line :
City : BOSTON
State : MA
Zip : 02126-1805
Country : US
Telephone Number : 617-682-0956
Fax Number :
Provider Business Practice Location Address
First Line : 1272 BLUE HILL AVE
Second Line :
City : BOSTON
State : MA
Zip : 02126-1805
Country : US
Telephone Number : 617-682-0956
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER/OWNER
Name : PITER JULES
Credential : DNP
Telephone Number : 617-682-0956
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/01/2021

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Directions to “KOMBIT HEALTH SYSTEMS LLC ” Practice Location

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