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General NPI Number Information
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NPI Number | 1033701560
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Entity Type | Organization
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Legal Business Name | MOUNTAIN HEALTH
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 280 WASHINGTON ST STE 207
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City | BRIGHTON
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State | MA
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Zip | 02135-3511
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Country | US
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Telephone | 617-903-7510
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Fax | 855-975-2598
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Provider Business Mailing Address
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Address Line | 280 WASHINGTON ST STE 207
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City | BRIGHTON
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State | MA
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Zip | 02135-3511
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Country | US
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Telephone | 617-206-2090
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Fax | 855-829-6228
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Authorized Official
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Title or Position | MANAGER
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Name | JOY SHUAI
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Credential |
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Telephone | 617-744-9390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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