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General NPI Number Information
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NPI Number | 1003413725
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Entity Type | Organization
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Legal Business Name | MASSACHUSETTS INTERLOCAL INSURANCE ASSOCIATION
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 1 WINTHROP SQ
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City | BOSTON
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State | MA
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Zip | 02110-1209
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Country | US
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Telephone | 617-246-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 23 BREAKWATER CT
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City | MARSHFIELD
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State | MA
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Zip | 02050-6701
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Country | US
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Telephone | 781-500-9518
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Fax |
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Authorized Official
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Title or Position | MIIA HEALTH BENEFITS TRUST MANAGER
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Name | CHRISTOPHER BAILEY
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Credential |
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Telephone | 617-246-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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