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General NPI Number Information
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NPI Number | 1376580761
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTH VENTURES OF MASSACHUSETTS, INC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 55 COOPER ST
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City | AGAWAM
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State | MA
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Zip | 01001-2149
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Country | US
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Telephone | 413-786-8000
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Fax | 413-789-4735
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Provider Business Mailing Address
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Address Line | 101 E STATE ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3109
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Country | US
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Telephone | 610-925-4436
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Fax | 610-925-4351
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Authorized Official
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Title or Position | CORPORATE MANAGER
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Name | JANE DROPESKEY
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Credential |
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Telephone | 610-925-4231
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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 | 0731
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License Number State | MA
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