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General NPI Number Information
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NPI Number | 1205167459
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Entity Type | Organization
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Legal Business Name | ACTION FOR BOSTON COMMUNITY DEVELOPMENT
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 105 CHAUNCY ST 4TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02111-1726
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Country | US
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Telephone | 617-348-6256
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Fax | 617-357-6810
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Provider Business Mailing Address
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Address Line | 178 TREMONT ST
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City | BOSTON
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State | MA
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Zip | 02111-1006
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Country | US
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Telephone | 617-348-6256
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Fax | 617-357-6810
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SERVICES
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Name | JOAN WHITAKER
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Credential |
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Telephone | 617-348-6260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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