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General NPI Number Information
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NPI Number | 1184600660
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Entity Type | Organization
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Legal Business Name | ELEMENT CARE, INC.
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 37 FRIEND ST
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City | LYNN
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State | MA
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Zip | 01902-3068
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Country | US
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Telephone | 781-715-6620
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Fax | 781-715-6699
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Provider Business Mailing Address
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Address Line | 37 FRIEND ST
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City | LYNN
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State | MA
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Zip | 01902-3068
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Country | US
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Telephone | 781-715-6620
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Fax | 781-715-6699
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Authorized Official
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Title or Position | CFO
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Name | MR. ROBERT P DURANTE
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Credential |
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Telephone | 781-715-6620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number | 1902601
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License Number State | MA
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