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General NPI Number Information
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NPI Number | 1861059693
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Entity Type | Organization
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Legal Business Name | NEWVISION TRANSITIONAL CARE MANAGEMENT
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 420 WASHINGTON ST STE LL6
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City | BRAINTREE
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State | MA
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Zip | 02184-4772
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Country | US
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Telephone | 781-985-0210
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Fax |
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Provider Business Mailing Address
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Address Line | 420 WASHINGTON ST STE LL6
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City | BRAINTREE
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State | MA
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Zip | 02184-4772
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Country | US
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Telephone | 781-985-0210
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | NADIA VALENTIN
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Credential | DNP
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Telephone | 781-985-0210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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