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General NPI Number Information
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NPI Number | 1659606531
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Entity Type | Organization
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Legal Business Name | CORBETT CONSULTING LLC
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 57 FRANKLIN STREET
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City | WESTFIELD
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State | MA
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Zip | 01085
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Country | US
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Telephone | 413-485-7171
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Fax | 413-485-7173
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Provider Business Mailing Address
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Address Line | 57 FRANKLIN STREET
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City | WESTFIELD
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State | MA
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Zip | 01085
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Country | US
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Telephone | 413-485-7171
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Fax | 413-485-7173
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | MARIA SOCORRO MEDINA
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Credential |
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Telephone | 413-485-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8010
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License Number State | MA
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