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General NPI Number Information
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NPI Number | 1245439397
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Entity Type | Organization
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Legal Business Name | QUINSIGAMOND COMMUNITY COLLEGE
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 670 W BOYLSTON ST
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City | WORCESTER
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State | MA
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Zip | 01606-2064
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Country | US
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Telephone | 508-853-2300
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Fax | 508-854-4553
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Provider Business Mailing Address
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Address Line | 670 W BOYLSTON ST
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City | WORCESTER
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State | MA
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Zip | 01606-2064
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Country | US
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Telephone | 508-853-2300
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Fax | 508-854-4553
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Authorized Official
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Title or Position | COMPTROLLER
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Name | JOYCE CRAVEDI
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Credential |
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Telephone | 508-854-4207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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