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General NPI Number Information
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NPI Number | 1053401679
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Entity Type | Organization
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Legal Business Name | TOWN OF PRINCETON
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 8 TOWN HALL DRIVE
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City | PRINCETON
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State | MA
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Zip | 01541
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Country | US
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Telephone | 978-464-2707
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Fax | 978-464-2700
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Provider Business Mailing Address
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Address Line | 844 WOBURN ST
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City | WILMINGTON
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State | MA
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Zip | 01887-3413
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Country | US
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Telephone | 978-253-2642
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Fax | 978-253-2567
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Authorized Official
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Title or Position | CHIEF
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Name | RAYMOND LAPORTE
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Credential |
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Telephone | 978-464-2707
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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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