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General NPI Number Information
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NPI Number | 1669771044
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Entity Type | Organization
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Legal Business Name | KENNEY ENTERPRISES LLC
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 19 FRONT ST SUITE 301
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City | SALEM
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State | MA
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Zip | 01970-3792
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Country | US
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Telephone | 978-744-5151
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Fax | 978-744-5885
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Provider Business Mailing Address
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Address Line | 6 LYNDE ST # UL
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City | SALEM
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State | MA
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Zip | 01970-3404
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Country | US
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Telephone | 978-744-5151
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Fax | 978-744-5885
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. ROSALEEN DOHERTY
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Credential |
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Telephone | 978-744-5151
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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 | 6057
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License Number State | MA
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