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General NPI Number Information
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NPI Number | 1245365022
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Entity Type | Organization
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Legal Business Name | CONGREGATION OF THE SISTERS OF ST. JOSEPH OF SPRINGFIELD
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 34 LOWER WESTFIELD RD STE 1
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City | HOLYOKE
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State | MA
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Zip | 01040-2749
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Country | US
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Telephone | 413-536-0853
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Fax | 413-533-3275
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Provider Business Mailing Address
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Address Line | 34 LOWER WESTFIELD RD STE 1
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City | HOLYOKE
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State | MA
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Zip | 01040-2749
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Country | US
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Telephone | 413-536-0853
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Fax | 413-533-3275
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Authorized Official
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Title or Position | PRESIDENT OF CONGREGATION
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Name | MARY QUINN
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Credential |
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Telephone | 413-536-0853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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