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General NPI Number Information
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NPI Number | 1710053137
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Entity Type | Organization
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Legal Business Name | SOUTH YARMOUTH MANAGEMENT SYSTEMS INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 265 N MAIN ST
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-2083
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Country | US
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Telephone | 508-394-3514
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Fax | 508-394-9360
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Provider Business Mailing Address
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Address Line | 265 N MAIN ST
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-2083
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Country | US
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Telephone | 508-394-3514
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Fax | 508-394-9360
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM C. JONES JR.
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Credential |
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Telephone | 413-447-2996
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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 | 0815
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License Number State | MA
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