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General NPI Number Information
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NPI Number | 1033249651
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Entity Type | Organization
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Legal Business Name | SHORE EDUCATIONAL COLLABORATIVE
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 100 REVERE BEACH PKWY
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City | CHELSEA
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State | MA
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Zip | 02150-1543
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Country | US
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Telephone | 617-887-2930
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Fax | 617-887-2022
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Provider Business Mailing Address
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Address Line | 100 REVERE BEACH PKWY
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City | CHELSEA
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State | MA
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Zip | 02150-1543
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Country | US
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Telephone | 617-887-2930
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Fax | 617-887-2022
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MS. MARYANN LUCIA
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Credential |
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Telephone | 617-887-2930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | MA
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