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General NPI Number Information
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NPI Number | 1336245703
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Entity Type | Organization
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Legal Business Name | ASHMONT HILL, LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 321 CENTRE STREET
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City | DORCHESTER
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State | MA
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Zip | 02122
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Country | US
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Telephone | 617-825-6320
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Fax | 617-825-7410
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Provider Business Mailing Address
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Address Line | 321 CENTRE STREET
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City | DORCHESTER
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State | MA
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Zip | 02122
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Country | US
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Telephone | 617-825-6320
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Fax | 617-825-7410
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Authorized Official
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Title or Position | PRINCIPAL
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Name | BOB BARANELLO
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Credential |
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Telephone | 978-372-4004
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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 | 0920
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License Number State | MA
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