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General NPI Number Information
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NPI Number | 1326164831
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Entity Type | Organization
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Legal Business Name | TRI-VALLEY, INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 MILL ST
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City | DUDLEY
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State | MA
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Zip | 01571-3377
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Country | US
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Telephone | 508-949-6640
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Fax | 508-949-6651
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Provider Business Mailing Address
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Address Line | 10 MILL ST
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City | DUDLEY
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State | MA
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Zip | 01571-3377
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Country | US
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Telephone | 508-949-6640
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Fax | 508-949-6651
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARILYN L TRAVINSKI
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Credential |
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Telephone | 508-949-6640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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