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General NPI Number Information
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NPI Number | 1780725945
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE HEALTH SERVICES
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 MIDDLE ST
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City | BARRINGTON
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State | RI
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Zip | 02806-1917
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Country | US
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Telephone | 401-245-7834
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MIDDLE ST
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City | BARRINGTON
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State | RI
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Zip | 02806-1917
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Country | US
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Telephone | 401-245-7834
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. COLIN HANRAHAN
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Credential |
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Telephone | 401-245-7834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 161118
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License Number State | RI
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