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General NPI Number Information
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NPI Number | 1144328691
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Entity Type | Organization
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Legal Business Name | SANCTA MARIA HOSPITAL, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 799 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1048
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Country | US
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Telephone | 617-868-2200
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Fax | 617-868-2851
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Provider Business Mailing Address
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Address Line | 799 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1048
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Country | US
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Telephone | 617-868-2200
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Fax | 617-868-2851
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | THOMAS GOMES
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Credential |
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Telephone | 617-868-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0927
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License Number State | MA
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