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General NPI Number Information
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NPI Number | 1386193845
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Entity Type | Organization
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Legal Business Name | WACHUSETT HEALTHCARE MANAGEMENT COMPANY, LLC
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 36 WASHINGTON ST SUITE 190
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-1900
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Country | US
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Telephone | 781-943-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 36 WASHINGTON ST SUITE 190
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-1900
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Country | US
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Telephone | 781-943-3104
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. RAYMOND A. DENNEHY III
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Credential |
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Telephone | 978-886-3336
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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 |
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License Number State |
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