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General NPI Number Information
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NPI Number | 1376530089
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTH OF QUINCY, INC.
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2 SEAPORT DR
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City | QUINCY
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State | MA
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Zip | 02171-1599
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Country | US
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Telephone | 617-769-5100
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Fax | 617-472-8427
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Provider Business Mailing Address
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Address Line | 2 SEAPORT DRIVE
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City | QUINCY
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State | MA
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Zip | 02171-1599
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Country | US
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Telephone | 617-769-5100
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Fax | 617-786-8812
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | PAUL BRIAN KEMP
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Credential |
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Telephone | 774-348-2001
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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 | 0542
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License Number State | MA
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