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General NPI Number Information
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NPI Number | 1669637963
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Entity Type | Organization
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Legal Business Name | HINGHAM ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 15 CONDITO RD
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City | HINGHAM
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State | MA
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Zip | 02043-1753
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Country | US
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Telephone | 781-749-3322
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Fax | 781-749-3330
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Provider Business Mailing Address
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Address Line | 15 CONDITO RD
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City | HINGHAM
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State | MA
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Zip | 02043-1753
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Country | US
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Telephone | 781-749-3322
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Fax | 781-749-3330
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. PAUL CASALE
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Credential |
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Telephone | 781-878-6700
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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 |
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License Number State | MA
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