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General NPI Number Information
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NPI Number | 1396719860
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Entity Type | Organization
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Legal Business Name | HINGHAM HEALTHCARE LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 11 CONDITO RD
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City | HINGHAM
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State | MA
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Zip | 02043-1746
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Country | US
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Telephone | 781-749-4774
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Fax | 781-749-6881
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Provider Business Mailing Address
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Address Line | 52 ACCORD PARK DR
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City | NORWELL
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State | MA
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Zip | 02061-1628
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Country | US
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Telephone | 781-878-6700
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Fax | 781-878-9807
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL WELCH
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Credential |
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Telephone | 781-878-6700
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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 | 0982
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License Number State | MA
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