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General NPI Number Information
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NPI Number | 1124016159
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Entity Type | Organization
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Legal Business Name | TUELL NURSING HOME INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 92 FRANKLIN ST
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City | MELROSE
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State | MA
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Zip | 02176-1821
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Country | US
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Telephone | 508-990-1133
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Fax | 508-990-2379
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Provider Business Mailing Address
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Address Line | PO BOX 2079
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City | NEW BEDFORD
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State | MA
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Zip | 02741-2079
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Country | US
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Telephone | 508-990-1133
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Fax | 508-990-2379
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Authorized Official
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Title or Position | BUSINESS OFFICE MGR.
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Name | BETH MANNY
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Credential |
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Telephone | 508-990-1133
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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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