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General NPI Number Information
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NPI Number | 1235407313
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Entity Type | Organization
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Legal Business Name | INDEPENDENT LIVING INNOVATIONS
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 3 PUTNAM RD
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City | BEDFORD
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State | MA
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Zip | 01730-1540
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Country | US
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Telephone | 617-877-4036
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 134
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City | BEDFORD
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State | MA
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Zip | 01730-0134
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Country | US
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Telephone | 617-877-4036
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Fax | 781-583-5550
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CINDY LEE TULIMIERI
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Credential | OTR/L
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Telephone | 617-877-4036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 8186
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License Number State | MA
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