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General NPI Number Information
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NPI Number | 1013824648
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Entity Type | Organization
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Legal Business Name | BISA SHORT-TERM POST- HOSPITALIZATION HOUSING
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | #1033, 436 SOUTHBRIDGE STREET SUITE 2
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City | AUBURN
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State | MA
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Zip | 01501
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Country | US
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Telephone | 718-810-3412
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Fax |
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Provider Business Mailing Address
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Address Line | 4005 POSTGATE TERRENCE APT 301
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City | SILVER SPRING
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State | MD
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Zip | 20906
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Country | US
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Telephone | 718-810-3412
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHINAECHEREM E ATU
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Credential |
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Telephone | 718-810-3412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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