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General NPI Number Information
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NPI Number | 1043424856
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Entity Type | Organization
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Legal Business Name | NP CARE OF MASSACHUSETTS LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 131 MAIN ST SUITE 201
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City | HATFIELD
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State | MA
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Zip | 01038-9786
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Country | US
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Telephone | 413-247-5878
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PROGRESS DR SUITE 200
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City | SHELTON
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State | CT
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Zip | 06484-6216
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Country | US
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Telephone | 203-025-9600
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Fax | 203-926-0594
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | DAVID M CHESS
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Credential | MD
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Telephone | 203-925-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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