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General NPI Number Information
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NPI Number | 1043036726
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Entity Type | Organization
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Legal Business Name | UMASS MEMORIAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 100 INDUSTRIAL DR
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City | HOLDEN
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State | MA
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Zip | 01520-1849
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Country | US
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Telephone | 774-441-9800
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Fax | 774-329-9221
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Provider Business Mailing Address
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Address Line | 55 LAKE AVE N
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City | WORCESTER
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State | MA
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Zip | 01655-0002
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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 | SVP FINANCE/CORP CONTROLLER
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Name | BRIAN HUGGINS
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Credential |
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Telephone | 508-334-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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