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General NPI Number Information
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NPI Number | 1083171805
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTER OF CAPE COD, INC.
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 115 SCRANTON AVE
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City | FALMOUTH
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State | MA
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Zip | 02540-3560
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Country | US
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Telephone | 508-477-7090
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Fax | 508-477-3909
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Provider Business Mailing Address
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Address Line | 107 COMMERCIAL ST
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City | MASHPEE
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State | MA
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Zip | 02649-6507
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Country | US
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Telephone | 508-477-7090
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Fax | 508-477-3909
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | MICHELLE HOULIHAN
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Credential |
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Telephone | 508-477-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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