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General NPI Number Information
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NPI Number | 1225029770
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Entity Type | Organization
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Legal Business Name | CONCORD HEALTH SERVICES, INC
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 30 ROLFE SQ
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City | CRANSTON
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State | RI
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Zip | 02910-2802
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Country | US
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Telephone | 401-725-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 30 ROLFE SQ
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City | CRANSTON
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State | RI
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Zip | 02910-2802
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Country | US
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Telephone | 401-725-8400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID E DIFILIPPO
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Credential | RN
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Telephone | 401-725-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 417049
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License Number State | RI
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