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General NPI Number Information
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NPI Number | 1225469869
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Entity Type | Organization
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Legal Business Name | BHS LABORATORY SERVICES OF MASSACHUSETTS
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 250 SPRING HILL RD
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City | ASHBY
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State | MA
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Zip | 01431-2213
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Country | US
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Telephone | 617-877-5382
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Fax |
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Provider Business Mailing Address
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Address Line | 250 SPRING HILL RD
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City | ASHBY
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State | MA
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Zip | 01431-2213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEPHANIE KADIS
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Credential |
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Telephone | 617-877-5382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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