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General NPI Number Information
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NPI Number | 1699926162
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Entity Type | Organization
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Legal Business Name | KING SOLOMN HUMANITARIAN FOUNDATION
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 470 PINE ST
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City | BRIDGEWATER
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State | MA
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Zip | 02324-2112
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Country | US
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Telephone | 508-697-7557
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Fax | 508-697-1529
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Provider Business Mailing Address
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Address Line | 470 PINE ST
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City | BRIDGEWATER
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State | MA
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Zip | 02324-2112
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Country | US
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Telephone | 508-697-7557
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Fax | 508-697-1529
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | ANITA HOWARDS
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Credential |
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Telephone | 508-697-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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