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NPI 1942267794

NPI 1942267794 : NEXION HEALTH AT NEW BOSTON, INC. : NEW BOSTON, TX

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General NPI Number Information
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    NPI Number           |    1942267794
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEXION HEALTH AT NEW BOSTON, INC. 
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Dates
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    Enumeration Date     |    04/26/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    210 RICE ST 
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    City                 |    NEW BOSTON
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    State                |    TX
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    Zip                  |    75570-2929
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    Country              |    US
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    Telephone            |    903-628-5551
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    Fax                  |    903-628-7049
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Provider Business Mailing Address
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    Address Line         |    1430 PROGRESS WAY SUITE 108
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    City                 |    ELDERSBURG
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    State                |    MD
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    Zip                  |    21784-6429
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    Country              |    US
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    Telephone            |    410-552-4800
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    Fax                  |    410-552-4837
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Authorized Official
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    Title or Position    |    CEO/PRESIDENT
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    Name                 |     FRANCIS P KIRLEY 
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    Credential           |    
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    Telephone            |    410-552-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    004185
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    License Number State |    TX
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