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General NPI Number Information
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NPI Number | 1003897828
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Entity Type | Organization
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Legal Business Name | WOODLAND CONVALESCENT CENTER INC
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 70 WOODLAND RD
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-8204
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Country | US
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Telephone | 401-765-0499
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Fax | 401-765-1225
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Provider Business Mailing Address
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Address Line | 70 WOODLAND RD
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-8204
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Country | US
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Telephone | 401-765-0499
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Fax | 401-765-1225
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MARY-ANN ABBRUZZI
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Credential |
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Telephone | 401-765-0499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | LTC00580
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License Number State | RI
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