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General NPI Number Information
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NPI Number | 1417989013
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Entity Type | Organization
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Legal Business Name | MRN CORPORATION
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 15 MILL ST
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City | MARION
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State | MA
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Zip | 02738-1546
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Country | US
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Telephone | 508-748-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 25 RAILROAD SQ SUITE 302
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City | HAVERHILL
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State | MA
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Zip | 01832-5721
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | MR. PHILIP M ARCIDI
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Credential |
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Telephone | 978-556-5900
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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 | 3573
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License Number State | MA
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