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General NPI Number Information
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NPI Number | 1790488591
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Entity Type | Organization
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Legal Business Name | NELP-COMMONS LLC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 3 HARVEST CIR
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City | LINCOLN
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State | MA
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Zip | 01773-3213
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Country | US
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Telephone | 781-430-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 201 JONES RD STE 300
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City | WALTHAM
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State | MA
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Zip | 02451-1618
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Country | US
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Telephone | 202-297-1862
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY BRADSHAW
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Credential |
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Telephone | 301-448-0273
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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 |
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License Number State |
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