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General NPI Number Information
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NPI Number | 1629025986
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Entity Type | Organization
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Legal Business Name | DARTMOUTH ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 239 CROSS RD
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-1992
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Country | US
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Telephone | 508-992-8880
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Fax | 508-992-8884
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Provider Business Mailing Address
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Address Line | 101 E STATE ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3109
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Country | US
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Telephone | 610-925-4436
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Fax | 610-925-4351
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Authorized Official
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Title or Position | CORPORATE DIRECTOR
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Name | MARCELLA WILKINSON
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Credential |
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Telephone | 610-925-4045
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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 | N/A
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License Number State | MA
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