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General NPI Number Information
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NPI Number | 1245373588
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Entity Type | Organization
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Legal Business Name | LATHROP HOME
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 215 SOUTH ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4019
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Country | US
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Telephone | 413-584-2865
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Fax | 413-584-8384
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Provider Business Mailing Address
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Address Line | 215 SOUTH ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4019
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Country | US
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Telephone | 413-584-2865
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Fax | 413-584-8384
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Authorized Official
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Title or Position | ADNINISTRATOR
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Name | MS. JAYE BONSIGNOR
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Credential |
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Telephone | 413-584-2865
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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 | 1187
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License Number State | MA
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