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General NPI Number Information
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NPI Number | 1235128737
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Entity Type | Organization
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Legal Business Name | MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 182 JACKSON RD
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City | DEVENS
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State | MA
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Zip | 01434-5062
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Country | US
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Telephone | 800-488-4351
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Fax | 978-772-8819
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Provider Business Mailing Address
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Address Line | 9 MAIN ST SUITE 2K
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City | SUTTON
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State | MA
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Zip | 01590-1660
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Country | US
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Telephone | 866-268-5200
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Fax | 508-476-9748
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Authorized Official
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Title or Position | CHIEF
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Name | JOSEPH LEBLANC
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Credential |
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Telephone | 978-772-4600
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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 | 3050
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License Number State | MA
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