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General NPI Number Information
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NPI Number | 1225010192
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Entity Type | Organization
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Legal Business Name | BASS RIVER HEALTHCARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 833 ROUTE 28
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City | S YARMOUTH
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State | MA
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Zip | 02664-5202
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Country | US
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Telephone | 508-394-1353
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Fax | 508-398-2866
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Provider Business Mailing Address
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Address Line | 833 ROUTE 28
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City | S YARMOUTH
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State | MA
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Zip | 02664-5254
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Country | US
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Telephone | 508-394-1353
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Fax | 508-398-2866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL J REIDA
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Credential | DC
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Telephone | 508-394-1353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 276
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License Number State | MA
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