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General NPI Number Information
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NPI Number | 1063957231
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Entity Type | Organization
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Legal Business Name | ADVOCARE HEALTH GROUP
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Dates
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Enumeration Date | 12/27/2016
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 1240 PAWTUCKET AVENUE
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City | RUMFORD
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State | RI
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Zip | 02916
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Country | US
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Telephone | 401-434-6727
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 4970
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City | RUMFORD
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State | RI
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Zip | 02916
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Country | US
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Telephone | 401-434-6727
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Fax | 401-431-6277
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATHLEEN FRATTARELLI
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Credential |
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Telephone | 401-434-6727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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