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General NPI Number Information
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NPI Number | 1861724791
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Entity Type | Organization
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Legal Business Name | COMMUNITAS, INC.
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 30 AUDUBON ROAD
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City | WAKEFIELD
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State | MA
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Zip | 01880
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Country | US
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Telephone | 781-587-2314
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Fax | 781-587-2315
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Provider Business Mailing Address
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Address Line | 60 D AUDUBON ROAD
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City | WAKEFIELD
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State | MA
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Zip | 01880
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Country | US
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Telephone | 781-587-2200
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Fax | 781-587-1362
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Authorized Official
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Title or Position | CEO & CFO
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Name | MR. PAUL J. COTE JR.
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Credential |
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Telephone | 781-587-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 718667
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License Number State | MA
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