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General NPI Number Information
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NPI Number | 1417980970
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH ASSOCIATION OF RICHMOND AND WEST STOCKBRIDGE
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 21 STATE LINE RD.
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City | WEST STOCKBRIDGE
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State | MA
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Zip | 01266
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Country | US
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Telephone | 413-232-0122
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Fax | 413-232-0199
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Provider Business Mailing Address
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Address Line | PO BOX 368 21 STATE LINE RD.
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City | WEST STOCKBRIDGE
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State | MA
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Zip | 01266
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Country | US
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Telephone | 413-232-0122
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Fax | 413-232-0199
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Authorized Official
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Title or Position | DIRECTOR
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Name | EMILIE JARRETT
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Credential | RN, BSN
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Telephone | 413-232-0122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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