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General NPI Number Information
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NPI Number | 1639385073
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Entity Type | Organization
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Legal Business Name | CARLETON WILLARD HOMES, INC.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 100 OLD BILLERICA RD
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City | BEDFORD
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State | MA
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Zip | 01730-1267
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Country | US
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Telephone | 781-275-8700
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Fax | 781-276-1988
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Provider Business Mailing Address
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Address Line | 100 OLD BILLERICA RD
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City | BEDFORD
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State | MA
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Zip | 01730-1267
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Country | US
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Telephone | 781-275-8700
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Fax | 781-276-1988
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Authorized Official
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Title or Position | CEO
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Name | MRS. BARBARA ANN DOYLE
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Credential |
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Telephone | 781-275-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 4213
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License Number State | MA
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