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General NPI Number Information
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NPI Number | 1467591172
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Entity Type | Organization
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Legal Business Name | SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2070 CENTRE ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-3328
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Country | US
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Telephone | 617-469-1986
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Fax | 617-469-0571
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Provider Business Mailing Address
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Address Line | 789 CLAPBOARDTREE ST
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City | WESTWOOD
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State | MA
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Zip | 02090-1717
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Country | US
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Telephone | 781-762-4001
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Fax | 781-461-5950
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM F ABEL
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Credential | PHD
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Telephone | 781-762-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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