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General NPI Number Information
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NPI Number | 1518308378
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Entity Type | Organization
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Legal Business Name | VINE MANAGEMENT, INC
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 405 GROVE ST STE 203
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City | WORCESTER
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State | MA
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Zip | 01605-1270
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Country | US
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Telephone | 617-681-0825
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Fax | 877-819-1309
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Provider Business Mailing Address
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Address Line | 153 ANDOVER ST SUITE 104
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City | DANVERS
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State | MA
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Zip | 01923-1450
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Country | US
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Telephone | 978-532-5592
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Fax | 978-666-4885
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES M NJOROGE
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Credential |
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Telephone | 508-414-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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