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General NPI Number Information
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NPI Number | 1033145297
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Entity Type | Organization
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Legal Business Name | CARITAS VALLEY REGIONAL MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 9 BRANCH ST
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City | METHUEN
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State | MA
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Zip | 01844-1955
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Country | US
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Telephone | 978-683-9177
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Fax | 978-688-8679
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Provider Business Mailing Address
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Address Line | 9 BRANCH ST
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City | METHUEN
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State | MA
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Zip | 01844-1955
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Country | US
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Telephone | 978-683-9177
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Fax | 978-688-8679
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA BUTT
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Credential |
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Telephone | 978-327-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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