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General NPI Number Information
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NPI Number | 1245649151
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Entity Type | Organization
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Legal Business Name | NUPATH INC.
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 7 LYBERTY WAY
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City | WESTFORD
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State | MA
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Zip | 01886-3617
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Country | US
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Telephone | 978-392-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 147 NEW BOSTON ST
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City | WOBURN
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State | MA
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Zip | 01801-6201
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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 | CFO
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Name | WILLIAM YETZ
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Credential |
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Telephone | 781-935-7057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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