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General NPI Number Information
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NPI Number | 1073554812
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Entity Type | Organization
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Legal Business Name | BURRILLVILLE HEALTH CENTER
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 181 DAVIS DR
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City | PASCOAG
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State | RI
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Zip | 02859-3507
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Country | US
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Telephone | 401-568-0600
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Fax | 401-568-3080
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Provider Business Mailing Address
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Address Line | 181 DAVIS DR
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City | PASCOAG
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State | RI
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Zip | 02859-3507
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Country | US
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Telephone | 401-568-0600
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Fax | 401-568-3080
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Authorized Official
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Title or Position | COO
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Name | KELLY ARNOLD
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Credential |
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Telephone | 401-751-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | LTC00651
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License Number State | RI
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Taxonomy #2
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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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