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General NPI Number Information
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NPI Number | 1023103405
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Entity Type | Organization
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Legal Business Name | FALMOUTH WALK-IN MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 309 TEATICKET HWY
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City | TEATICKET
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State | MA
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Zip | 02536
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Country | US
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Telephone | 508-540-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 309 TEATICKET HWY
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City | TEATICKET
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State | MA
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Zip | 02536
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL C LEE
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Credential | M.D.
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Telephone | 508-540-6790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 44566
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License Number State | MA
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