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General NPI Number Information
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NPI Number | 1346233715
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Entity Type | Organization
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Legal Business Name | TOWN OF BOXBOROUGH
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 29 MIDDLE RD
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City | BOXBOROUGH
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State | MA
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Zip | 01719-1430
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Country | US
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Telephone | 978-263-7546
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4110 DEPT 790
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City | WOBURN
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State | MA
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Zip | 01888-4110
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Country | US
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Telephone | 978-264-1770
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | SHAWN GRAY
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Credential |
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Telephone | 978-264-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3663
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License Number State | MA
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