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NPI 1649347691

NPI 1649347691 : SERVICENET INC : NORTHAMPTON, MA

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General NPI Number Information
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    NPI Number           |    1649347691
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    Entity Type          |    Organization 
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    Legal Business Name  |    SERVICENET INC 
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Dates
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    Enumeration Date     |    11/28/2006
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    Last Update Date     |    01/15/2025
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Provider Practice Location Address
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    Address Line         |    131 KING ST 
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-3234
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    Country              |    US
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    Telephone            |    413-566-5871
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    129 KING ST 
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-3258
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    Country              |    US
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    Telephone            |    413-585-1400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEFO
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    Name                 |     JAMES  SACCENTO 
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    Credential           |    
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    Telephone            |    413-585-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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