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General NPI Number Information
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NPI Number | 1295372563
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Entity Type | Organization
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Legal Business Name | BOSTON MEDICAL CENTER CORPORATION DBA BMC PHARMACY AT CODMAN SQUARE
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 637 WASHINGTON ST
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City | DORCHESTER
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State | MA
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Zip | 02124-3510
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Country | US
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Telephone | 617-638-8150
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Fax | 617-638-8149
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Provider Business Mailing Address
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Address Line | 850 HARRISON AVE BSMT BCN7
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City | BOSTON
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State | MA
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Zip | 02118-4001
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Country | US
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Telephone | 617-414-5377
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR OUTPATIENT PHARMACY
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Name | MR. SEBASTIAN HAMILTON
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Credential |
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Telephone | 617-414-5377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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