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TOWARD INDEPENDENT LIVING AND LEARNING NPI 1528294832


NPI Information

NPI: 1528294832
Provider Name: TOWARD INDEPENDENT LIVING AND LEARNING

Doing Business As: TILL MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 22D2039495

Address:
20 EASTBROOK RD
SUITE 201
DEDHAM, MA
ZIP 02026
Phone: (781) 302-4600
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TOWARD INDEPENDENT LIVING AND LEARNING is a neurology psychiatry neurology in Dedham, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. TOWARD INDEPENDENT LIVING AND LEARNING NPI is 1528294832. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Till Medical Group.

The provider's business location address is:

20 EASTBROOK RD
SUITE 201
DEDHAM, MA
ZIP 02026-075
Phone: (781) 302-4600

The provider's authorized official is Dafna Krouk-gordon .
The authorized official title is President and has the following contact phone number (781) 302-4600.

The CLIA number assigned to this NPI record is 22D2039495 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 6/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health199217MASSACHUSETTSNo
22084N0400XPsychiatry & NeurologyNeurology73077MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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