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NPI 1013904218

NPI 1013904218 : NORWELL KNOLL INC : NORWELL, MA

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General NPI Number Information
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    NPI Number           |    1013904218
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORWELL KNOLL INC 
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Dates
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    Enumeration Date     |    10/03/2005
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    Last Update Date     |    11/16/2011
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Provider Practice Location Address
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    Address Line         |    329 WASHINGTON ST 
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    City                 |    NORWELL
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    State                |    MA
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    Zip                  |    02061-1794
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    Country              |    US
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    Telephone            |    781-659-4901
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    Fax                  |    781-659-0065
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Provider Business Mailing Address
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    Address Line         |    329 WASHINGTON ST 
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    City                 |    NORWELL
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    State                |    MA
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    Zip                  |    02061-1794
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    Country              |    US
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    Telephone            |    781-659-4901
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    Fax                  |    781-659-0065
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Authorized Official
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    Title or Position    |    PRES ADM
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    Name                 |     BRIAN G GEANY 
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    Credential           |    
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    Telephone            |    781-659-4901
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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       |    
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    License Number State |    
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