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NPI 1164973046

NPI 1164973046 : TOWN OF TYNGSBOROUGH : TYNGSBORO, MA

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General NPI Number Information
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    NPI Number           |    1164973046
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOWN OF TYNGSBOROUGH 
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Dates
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    Enumeration Date     |    10/17/2016
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    Last Update Date     |    10/17/2016
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Provider Practice Location Address
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    Address Line         |    26 KENDALL RD 
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    City                 |    TYNGSBORO
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    State                |    MA
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    Zip                  |    01879-1013
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    Country              |    US
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    Telephone            |    978-649-7671
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    Fax                  |    978-649-2301
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Provider Business Mailing Address
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    Address Line         |    26 KENDALL RD 
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    City                 |    TYNGSBORO
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    State                |    MA
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    Zip                  |    01879-1013
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    Country              |    US
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    Telephone            |    978-649-7671
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    Fax                  |    978-649-2301
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Authorized Official
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    Title or Position    |    CHIEF
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    Name                 |     TIMOTHY J MADDEN 
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    Credential           |    
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    Telephone            |    978-649-7671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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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        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    
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    License Number State |    
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