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General NPI Number Information
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NPI Number | 1427657980
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Entity Type | Organization
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Legal Business Name | PARKER SENIOR CARE, LLC
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Dates
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Enumeration Date | 10/25/2020
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Last Update Date | 10/25/2020
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Provider Practice Location Address
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Address Line | 741 PARKER ST
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-1488
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Country | US
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Telephone | 413-224-2200
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Fax | 413-224-7122
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Provider Business Mailing Address
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Address Line | 741 PARKER ST
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-1488
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Country | US
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Telephone | 413-224-2200
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Fax | 413-224-7122
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Authorized Official
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Title or Position | REIMBURSEMENT ANALYST
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Name | MR. HENRY JAMES VAUGHN
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Credential |
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Telephone | 240-595-6025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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