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General NPI Number Information
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NPI Number | 1568688950
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Entity Type | Organization
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Legal Business Name | FS COMMONWEALTH LLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 2 REHABILITATION WAY
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City | WOBURN
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State | MA
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Zip | 01801-6003
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Country | US
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Telephone | 978-446-1729
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Fax |
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Provider Business Mailing Address
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Address Line | 220 PAWTUCKET ST
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City | LOWELL
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State | MA
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Zip | 01854-3573
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Country | US
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Telephone | 978-446-1729
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Fax | 978-446-1643
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Authorized Official
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Title or Position | PATIENT ACCOUNTS MANAGER
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Name | MRS. ANN M STEPHEN
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Credential |
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Telephone | 978-446-1729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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