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General NPI Number Information
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NPI Number | 1881765733
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Entity Type | Organization
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Legal Business Name | PHILANTHROPIC ASSOC. OF SWANSEA, INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 285 WILBUR AVENUE
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City | SWANSEA
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State | MA
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Zip | 02777
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Country | US
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Telephone | 508-675-2399
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Fax | 508-646-1726
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Provider Business Mailing Address
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Address Line | 285 WILBUR AVENUE
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City | SWANSEA
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State | MA
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Zip | 02777
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Country | US
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Telephone | 508-675-2399
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Fax | 508-646-1726
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JOHN R SOARES
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Credential |
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Telephone | 508-675-2399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3150
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License Number State | MA
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