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General NPI Number Information
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NPI Number | 1962767053
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Entity Type | Organization
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Legal Business Name | TOWARD INDEPENDENT LIVING AND LEARNING
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 61 MILL POND LN
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City | NORWOOD
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State | MA
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Zip | 02062-5309
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Country | US
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Telephone | 781-929-3992
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Fax |
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Provider Business Mailing Address
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Address Line | 61 MILL POND LN
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City | NORWOOD
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State | MA
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Zip | 02062-5309
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Country | US
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Telephone | 781-929-3992
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR MONITOR
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Name | MISS JULIANNE MARIE PERRY
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Credential | BA
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Telephone | 781-929-3992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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