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General NPI Number Information
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NPI Number | 1013509025
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Entity Type | Organization
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Legal Business Name | TOWN OF LAKEVILLE
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 346 BEDFORD ST STE 1
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City | LAKEVILLE
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State | MA
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Zip | 02347-2160
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Country | US
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Telephone | 508-946-3473
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Fax | 508-946-3971
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Provider Business Mailing Address
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Address Line | 346 BEDFORD ST STE 1
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City | LAKEVILLE
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State | MA
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Zip | 02347-2160
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Country | US
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Telephone | 508-946-3473
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Fax | 508-946-3971
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Authorized Official
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Title or Position | HEALTH AGENT
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Name | EDWARD CULLEN
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Credential |
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Telephone | 508-946-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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