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General NPI Number Information
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NPI Number | 1093022741
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Entity Type | Organization
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Legal Business Name | DANFORTH HEALTHCARE: DBA CURTIS MANOR REST HOME
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 83 CURTIS AVE
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City | DALTON
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State | MA
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Zip | 01226-1508
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Country | US
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Telephone | 413-684-0218
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Fax | 413-684-4478
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Provider Business Mailing Address
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Address Line | 83 CURTIS AVE
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City | DALTON
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State | MA
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Zip | 01226-1508
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Country | US
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Telephone | 413-684-0218
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Fax | 413-684-4478
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JO DANFORTH
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Credential | R.N.
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Telephone | 413-684-0647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 1370
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License Number State | MA
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