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General NPI Number Information
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NPI Number | 1235147760
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Entity Type | Organization
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Legal Business Name | BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 298 WASHINGTON ST
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City | GLOUCESTER
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State | MA
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Zip | 01930-4832
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Country | US
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Telephone | 978-282-3681
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Fax |
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Provider Business Mailing Address
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Address Line | 20 UNIVERSITY RD STE 700
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5810
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Country | US
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Telephone | 781-744-8085
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Fax | 781-744-5433
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX BARKER
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Credential |
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Telephone | 781-744-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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