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General NPI Number Information
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NPI Number | 1700818200
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Entity Type | Organization
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Legal Business Name | SISTERS OF PROVIDENCE INC , INFIRMARY
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1233 MAIN ST 3RD FLOOR
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City | HOLYOKE
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State | MA
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Zip | 01040-5381
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Country | US
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Telephone | 141-349-3275
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Fax | 141-349-3275
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Provider Business Mailing Address
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Address Line | 1233 MAIN ST 3RD FLOOR
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City | HOLYOKE
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State | MA
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Zip | 01040-5381
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Country | US
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Telephone | 141-349-3275
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Fax | 141-349-3275
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Authorized Official
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Title or Position | NURSING HOME ADMINISTRATOR
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Name | MS. MARGARET MARY CAHILLANE
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Credential | NHA
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Telephone | 14134932752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 31400000X
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License Number State | MA
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