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General NPI Number Information
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NPI Number | 1699070334
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Entity Type | Organization
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Legal Business Name | A PLUS TRIUMPHEALTH GROUP, INC
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 99 ROCKY KNOLL DR
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City | STOUGHTON
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State | MA
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Zip | 02072-1080
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Country | US
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Telephone | 781-249-2300
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Fax | 781-344-3939
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Provider Business Mailing Address
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Address Line | 99 ROCKY KNOLL DR
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City | STOUGHTON
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State | MA
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Zip | 02072-1080
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Country | US
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Telephone | 781-249-2300
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Fax | 781-344-3939
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL DIRECTOR
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Name | OBY CHRISTIANA IKORO
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Credential | RN
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Telephone | 781-249-2300
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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 | R2972
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License Number State | MA
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