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General NPI Number Information
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NPI Number | 1295060283
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Entity Type | Organization
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Legal Business Name | TOWN OF BOYLSTON
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 221 MAIN ST
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City | BOYLSTON
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State | MA
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Zip | 01505-2037
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Country | US
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Telephone | 508-869-6828
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Fax | 508-869-6210
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Provider Business Mailing Address
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Address Line | 221 MAIN ST
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City | BOYLSTON
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State | MA
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Zip | 01505-2037
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Country | US
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Telephone | 508-869-6828
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Fax | 508-869-6210
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | MR. DENNIS M. COSTELLO
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Credential |
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Telephone | 508-869-6828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 251K00000X
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License Number State | MA
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