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General NPI Number Information
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NPI Number | 1356324289
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Entity Type | Organization
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Legal Business Name | TOWN OF KINGSTON
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 105 PEMBROKE ST
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City | KINGSTON
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State | MA
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Zip | 02364-1103
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Country | US
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Telephone | 781-585-0531
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4110 DEPT 5280
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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 | 781-585-0531
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MARK DOUGLASS
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Credential |
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Telephone | 781-585-0531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 3130
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License Number State | MA
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