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General NPI Number Information
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NPI Number | 1891233417
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Entity Type | Organization
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Legal Business Name | VETERANS INC
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 59 SOUTH ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-3025
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Country | US
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Telephone | 508-845-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 69 GROVE ST
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City | WORCESTER
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State | MA
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Zip | 01605-2600
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Country | US
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Telephone | 800-482-2565
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Fax | 888-854-0853
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DENIS LEARY
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Credential |
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Telephone | 508-963-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 0398
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License Number State | MA
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