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General NPI Number Information
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NPI Number | 1861534174
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Entity Type | Organization
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Legal Business Name | HENRY C. NEVINS HOME FOR THE AGED & INCURABLE, INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12 INGALLS CT
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City | METHUEN
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State | MA
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Zip | 01844-3712
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Country | US
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Telephone | 978-682-7611
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Fax | 978-794-0279
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Provider Business Mailing Address
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Address Line | 12 INGALLS CT
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City | METHUEN
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State | MA
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Zip | 01844-3712
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Country | US
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Telephone | 978-682-7611
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Fax | 978-794-0279
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Authorized Official
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Title or Position | FINANCIAL ANALYST
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Name | SHARON ANNE WALSH
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Credential |
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Telephone | 978-682-7611
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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 | MA
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