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General NPI Number Information
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NPI Number | 1295015048
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PSYCHIATRIC CARE LLC
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 21 LONGMEADOW RD
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City | WESTBOROUGH
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State | MA
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Zip | 01581-2419
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Country | US
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Telephone | 508-898-8650
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Fax | 508-870-9793
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Provider Business Mailing Address
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Address Line | 21 LONGMEADOW RD
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City | WESTBOROUGH
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State | MA
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Zip | 01581-2419
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Country | US
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Telephone | 508-898-8650
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Fax | 508-870-9793
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CHERYL MOAK
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Credential |
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Telephone | 508-898-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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