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General NPI Number Information
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NPI Number | 1104778463
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Entity Type | Organization
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Legal Business Name | PPS OF MASSACHUSETTS LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 181 CEDAR HILL ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-3057
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Country | US
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Telephone | 508-624-8847
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Fax | 508-624-8880
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Provider Business Mailing Address
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Address Line | 181 CEDAR HILL ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-3057
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Country | US
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Telephone | 508-624-8847
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Fax | 508-624-8880
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Authorized Official
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Title or Position | COO
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Name | JAMES MATTHEWS
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Credential | RPH
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Telephone | 908-931-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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