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General NPI Number Information
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NPI Number | 1699404319
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Entity Type | Organization
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Legal Business Name | GIFT OF MERCY ADULT HEALTH SERVICES
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 53 STATE ST STE 500
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City | BOSTON
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State | MA
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Zip | 02109-3111
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Country | US
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Telephone | 617-945-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 53 STATE ST STE 500
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City | BOSTON
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State | MA
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Zip | 02109-3111
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Country | US
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Telephone | 617-945-8998
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR/PRESIDENT
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Name | GEM E RICHARDS
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Credential | RN
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Telephone | 774-413-0427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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