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General NPI Number Information
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NPI Number | 1437157898
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Entity Type | Organization
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Legal Business Name | SCALABRINI VILLA, INC.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/03/2007
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Provider Practice Location Address
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Address Line | 860 N QUIDNESSETT RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-1000
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Country | US
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Telephone | 401-884-1802
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Fax | 401-884-4727
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Provider Business Mailing Address
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Address Line | 860 N QUIDNESSETT RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-1000
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Country | US
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Telephone | 401-884-1802
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Fax | 401-884-4727
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOY RYAN
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Credential |
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Telephone | 401-884-1802
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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 | LTC00367
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License Number State | RI
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