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General NPI Number Information
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NPI Number | 1922550615
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE HOME MODIFICATIONS AND THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 49 GOLDEN RUN RD
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City | BOLTON
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State | MA
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Zip | 01740-1029
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Country | US
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Telephone | 617-981-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 49 GOLDEN RUN RD
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City | BOLTON
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State | MA
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Zip | 01740-1029
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Country | US
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Telephone | 617-981-9396
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | THOMAS PATRICK DURKIN JR.
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Credential | OT
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Telephone | 617-981-9396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 8883
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License Number State | MA
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