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General NPI Number Information
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NPI Number | 1174543045
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Entity Type | Organization
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Legal Business Name | SOUTHCOAST HOSPITALS GROUP, INC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 200 MILL RD SUITE 120
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-973-3300
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Fax | 508-973-3305
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Provider Business Mailing Address
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Address Line | 200 MILL RD SUITE 120
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-973-3300
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Fax | 508-973-3305
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Authorized Official
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Title or Position | DIRECTOR AMBULATORY PHARMACY SERVIC
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Name | MR. SCOTT FLANAGAN
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Credential | RPH.
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Telephone | 508-961-5760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | V113
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License Number State | MA
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