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General NPI Number Information
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NPI Number | 1295959849
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF TUFTS UNIVERSITY
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 TRAPELO RD
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City | WALTHAM
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State | MA
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Zip | 02452-6332
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Country | US
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Telephone | 508-384-8987
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Fax | 508-384-6594
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | WRENTHAM
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State | MA
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Zip | 02093-0144
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Country | US
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Telephone | 508-384-8987
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Fax | 508-384-6594
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | DR. JOHN PATRICK MORGAN JR.
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Credential |
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Telephone | 781-899-6020
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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 | 20040
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License Number State | MA
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