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General NPI Number Information
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NPI Number | 1104202985
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Entity Type | Organization
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Legal Business Name | TOWN OF NEWBURY
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 25 HIGH RD
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City | NEWBURY
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State | MA
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Zip | 01951-1298
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Country | US
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Telephone | 978-465-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HIGH RD
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City | NEWBURY
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State | MA
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Zip | 01951-1298
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Country | US
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Telephone | 978-465-0862
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Fax |
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Authorized Official
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Title or Position | TOWN ADMINISTRATOR
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Name | TRACY BLAIS
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Credential |
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Telephone | 978-465-0862
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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 | 3092
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License Number State | MA
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