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General NPI Number Information
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NPI Number | 1164244786
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Entity Type | Organization
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Legal Business Name | COMPASS HEALTH SYSTEMS OF MASSACHUSETTS, INC.
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 61 BROWN ST
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City | HAVERHILL
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State | MA
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Zip | 01830
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Country | US
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Telephone | 888-852-6672
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Fax | 305-891-4228
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Provider Business Mailing Address
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Address Line | 1065 NE 125TH STREET SUITE 300
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5833
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Country | US
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Telephone | 800-852-6672
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Fax | 786-235-6225
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Authorized Official
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Title or Position | CEO
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Name | SCOTT SEGAL
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Credential | MD
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Telephone | 786-221-0908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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