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General NPI Number Information
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NPI Number | 1316064140
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Entity Type | Organization
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Legal Business Name | MANSION, INC
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 104 CLAY ST
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City | CENTRAL FALLS
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State | RI
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Zip | 02863-3023
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Country | US
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Telephone | 401-726-5020
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Fax | 401-728-1814
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Provider Business Mailing Address
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Address Line | 104 CLAY ST
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City | CENTRAL FALLS
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State | RI
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Zip | 02863-3023
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Country | US
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Telephone | 401-726-5020
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Fax | 401-728-1814
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN CHOPOORIAN
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Credential | PH.D.
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Telephone | 401-726-5020
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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 | 298
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License Number State | RI
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