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General NPI Number Information
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NPI Number | 1639448251
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Entity Type | Organization
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Legal Business Name | R&J CARE COMPANY LLC
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Dates
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Enumeration Date | 12/28/2011
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 485 GRANITE ST
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City | BRAINTREE
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State | MA
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Zip | 02184-3944
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Country | US
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Telephone | 781-848-2273
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Fax | 781-848-2275
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Provider Business Mailing Address
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Address Line | 403 MAIN ST
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City | HINGHAM
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State | MA
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Zip | 02043-2859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. KEVIN WAYNE MOEHLENKAMP
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Credential |
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Telephone | 617-680-5071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | MA
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