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General NPI Number Information
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NPI Number | 1710799374
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Entity Type | Organization
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Legal Business Name | RUTH COWIN HOUSE - BEACON
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1027 BEACON ST
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City | BROOKLINE
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State | MA
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Zip | 02446-5682
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Country | US
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Telephone | 617-369-1557
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 WASHINGTON ST
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City | BOSTON
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State | MA
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Zip | 02118-3380
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | ANDREW COLE
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Credential |
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Telephone | 207-251-8318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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