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General NPI Number Information
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NPI Number | 1366752727
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Entity Type | Organization
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Legal Business Name | FIVE STAR QUALITY CARE-MS, LLC
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 1488 BELK BLVD.
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-234-8244
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CENTRE STREET
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City | NEWTON
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State | MA
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Zip | 02458
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Country | US
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Telephone | 617-796-8160
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | PAUL HOAGLAND
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Credential |
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Telephone | 617-796-8387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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