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General NPI Number Information
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NPI Number | 1053365981
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Entity Type | Organization
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Legal Business Name | TOWN OF LEXINGTON
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 45 BEDFORD ST
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City | LEXINGTON
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State | MA
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Zip | 02420-4339
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Country | US
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Telephone | 781-698-4605
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Fax | 781-861-2791
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Provider Business Mailing Address
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Address Line | PO BOX 4110, DEPT 1800
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City | WOBURN
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State | MA
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Zip | 01888-4110
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Country | US
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Telephone | 617-682-1840
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Fax | 617-492-0344
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Authorized Official
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Title or Position | CHIEF
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Name | DEREK SENCABAUGH
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Credential |
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Telephone | 781-698-4605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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