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General NPI Number Information
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NPI Number | 1073239752
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Entity Type | Organization
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Legal Business Name | NAVIGATOR HOMES OF MARTHA'S VINEYARD, INC.
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 1 HOSPITAL RD
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City | OAK BLUFFS
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State | MA
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Zip | 02557-1406
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Country | US
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Telephone | 508-696-6465
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1356
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568-0905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MS. MARY R. BROWN
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Credential |
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Telephone | 508-524-3986
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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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