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General NPI Number Information
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NPI Number | 1306174990
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Entity Type | Organization
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Legal Business Name | AUTUMN RESEARCH
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 5B S COMMONS
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City | LINCOLN
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State | MA
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Zip | 01773-1114
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Country | US
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Telephone | 617-699-5032
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Fax | 781-259-3366
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Provider Business Mailing Address
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Address Line | 5B S COMMONS
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City | LINCOLN
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State | MA
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Zip | 01773-1114
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Country | US
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Telephone | 617-699-5032
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Fax | 781-259-3366
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JULIE ANN LYNCH
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Credential | RN, MBA
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Telephone | 617-699-5032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 278187
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License Number State | MA
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