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General NPI Number Information
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NPI Number | 1114740933
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Entity Type | Organization
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Legal Business Name | BK PRIMARY CARE PLLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 21 AARONS WAY
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City | WEST YARMOUTH
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State | MA
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Zip | 02673-2596
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Country | US
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Telephone | 508-760-2054
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Fax | 508-760-1218
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Provider Business Mailing Address
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Address Line | 302 SPRUCEWOOD LN
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City | CLINTON
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State | MA
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Zip | 01510-3933
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Country | US
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Telephone | 617-763-0429
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRIMARY CARE PHYSICIAN
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Name | DR. JONFRANCO BARRETTO
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Credential | MD
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Telephone | 617-763-0429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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