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General NPI Number Information
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NPI Number | 1962700963
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Entity Type | Organization
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Legal Business Name | UNITED CHURCH HOMES OF READING, INC
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 607 NORTH AVE # 18
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City | WAKEFIELD
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State | MA
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Zip | 01880-1322
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Country | US
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Telephone | 781-224-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BAY STATE RD
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City | READING
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State | MA
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Zip | 01867-1962
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Country | US
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Telephone | 781-944-6262
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Fax | 781-944-7043
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Authorized Official
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Title or Position | CEO
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Name | MS. JACQUELINE DALE CARSON
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Credential |
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Telephone | 781-929-9588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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