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General NPI Number Information
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NPI Number | 1134538242
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Entity Type | Organization
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Legal Business Name | DAMIAN FOLCH MD
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 35 VILLAGE SQ
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City | CHELMSFORD
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State | MA
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Zip | 01824-2712
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Country | US
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Telephone | 978-250-9495
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Fax | 978-250-3979
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Provider Business Mailing Address
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Address Line | 35 VILLAGE SQ
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City | CHELMSFORD
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State | MA
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Zip | 01824-2712
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Country | US
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Telephone | 978-250-9495
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Fax | 978-250-3979
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | DR. DAMIAN FOLCH
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Credential | M.D.
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Telephone | 978-250-9495
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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 | 70456
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License Number State | MA
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