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General NPI Number Information
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NPI Number | 1881697621
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Entity Type | Organization
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Legal Business Name | LEE REGIONAL VISITING NURSE ASSOCIATION, INC.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 32 PARK STREET
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City | LEE
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State | MA
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Zip | 01238
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Country | US
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Telephone | 413-243-1212
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Fax | 413-243-9707
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Provider Business Mailing Address
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Address Line | 32 PARK STREET
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City | LEE
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State | MA
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Zip | 01238
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Country | US
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Telephone | 413-243-1212
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Fax | 413-243-9707
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Authorized Official
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Title or Position | CEO
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Name | HOLLY ANN CHAFFEE
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Credential | RN, BSN, MSN
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Telephone | 413-243-1212
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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 | NOT APPLICABLE
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MA
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