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NPI 1538315312

NPI 1538315312 : O'CONNELL PROFESSIONAL NURSE SERVICE INC. : SPRINGFIELD, MA

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General NPI Number Information
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    NPI Number           |    1538315312
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    Entity Type          |    Organization 
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    Legal Business Name  |    O'CONNELL PROFESSIONAL NURSE SERVICE INC. 
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Dates
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    Enumeration Date     |    08/13/2008
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    Last Update Date     |    09/17/2015
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Provider Practice Location Address
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    Address Line         |    1 FEDERAL ST BUILDING 103-1
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01105-1199
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    Country              |    US
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    Telephone            |    413-533-1030
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    Fax                  |    413-536-7699
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Provider Business Mailing Address
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    Address Line         |    1 FEDERAL ST BUILDING 103-1
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01105-1199
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    Country              |    US
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    Telephone            |    413-533-1030
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    Fax                  |    413-536-7699
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MR. FRANCIS  O'CONNELL 
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    Credential           |    RN, FNP
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    Telephone            |    413-533-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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