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General NPI Number Information
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NPI Number | 1821169111
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Entity Type | Organization
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Legal Business Name | ADLIFE HEALTHCARE LLC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 945 CONCORD STREET SUITE 217
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City | FRAMINGHAM
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State | MA
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Zip | 01701
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Country | US
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Telephone | 508-620-4554
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Fax |
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Provider Business Mailing Address
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Address Line | 945 CONCORD STREET SUITE 217
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City | FRAMINGHAM
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State | MA
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Zip | 01701
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Country | US
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Telephone | 508-620-4554
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SHARON DENISE RICHARDSON
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Credential | MSN, RN
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Telephone | 508-620-4554
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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 | R2418
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License Number State | MA
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