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General NPI Number Information
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NPI Number | 1558255364
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTH OF NORTHBOROUGH INC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 112 W MAIN ST
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-1824
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Country | US
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Telephone | 508-351-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 112 W MAIN ST
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-1824
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Country | US
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Telephone | 508-351-9355
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF AR
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Name | LISA SCHELLHAMMER
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Credential |
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Telephone | 623-986-1912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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