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General NPI Number Information
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NPI Number | 1083199749
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND HOSPICE
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 190 OLD DERBY ST STE 304
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City | HINGHAM
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State | MA
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Zip | 02043-4065
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Country | US
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Telephone | 781-749-2900
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Fax | 781-749-2950
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Provider Business Mailing Address
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Address Line | 65 KINGLAND RD
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City | STOW
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State | MA
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Zip | 01775-1510
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Country | US
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Telephone | 774-573-5227
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Fax |
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Authorized Official
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Title or Position | MSW
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Name | ELIZABETH BURGOS
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Credential | LICSW
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Telephone | 774-573-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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