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General NPI Number Information
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NPI Number | 1457348716
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Entity Type | Organization
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Legal Business Name | ARMENIAN NURSING AND REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 431 POND ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-3402
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Country | US
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Telephone | 617-522-2600
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Fax | 617-524-7024
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Provider Business Mailing Address
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Address Line | 431 POND ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-3402
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Country | US
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Telephone | 617-522-2600
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Fax | 617-524-7024
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ADAM BERMAN
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Credential |
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Telephone | 978-471-5100
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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 | 0454
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License Number State | MA
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