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General NPI Number Information
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NPI Number | 1225100241
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE HEALTH ALLIANCE
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 26 CENTRAL ST
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City | SOMERVILLE
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State | MA
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Zip | 02143-2827
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Country | US
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Telephone | 617-591-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 1493 CAMBRIDGE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1047
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Country | US
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Telephone | 617-665-1216
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE CLINICAL SPECIALIS
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Name | MS. ELIZABETH IRENE MALVEY
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Credential | RNCS
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Telephone | 617-591-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 145904
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License Number State | MA
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