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General NPI Number Information
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NPI Number | 1306938444
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Entity Type | Organization
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Legal Business Name | NATIONAL MENTOR HEALTHCARE, INC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/05/2023
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Provider Practice Location Address
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Address Line | 8540 CINDER BED ROAD SUITE 1700
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City | NEWINGTON
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State | VA
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Zip | 22122
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Country | US
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Telephone | 703-339-7299
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Fax | 703-339-5326
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Provider Business Mailing Address
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Address Line | 313 CONGRESS ST
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City | BOSTON
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State | MA
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Zip | 02210-1218
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Country | US
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Telephone | 800-388-5150
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Fax | 617-790-4271
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Authorized Official
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Title or Position | COO
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Name | BRETT IAN COHEN
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Credential |
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Telephone | 800-388-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CO-06-125
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License Number State | VA
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