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General NPI Number Information
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NPI Number | 1942419494
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Entity Type | Organization
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Legal Business Name | ACTION BASED ENTERPRISES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 141 MAIN ST
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City | WOONSOCKET
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State | RI
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Zip | 02895-4330
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Country | US
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Telephone | 401-767-5959
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Fax | 401-767-5957
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Provider Business Mailing Address
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Address Line | PO BOX 19038
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City | JOHNSTON
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State | RI
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Zip | 02919-0038
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Country | US
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Telephone | 401-767-5959
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Fax | 401-767-5957
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Authorized Official
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Title or Position | SPECIAL EDUCATION DIRECTOR
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Name | MR. ROBERT ANTHONY PURCELL
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Credential | M.ED
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Telephone | 401-767-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 399
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License Number State | RI
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