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General NPI Number Information
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NPI Number | 1376502070
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Entity Type | Organization
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Legal Business Name | HARBOR HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 735 ATTUCKS LN
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City | HYANNIS
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State | MA
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Zip | 02601-1867
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Country | US
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Telephone | 508-778-0300
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Fax | 508-778-8747
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Provider Business Mailing Address
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Address Line | 1135 MORTON STREET
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City | MATTAPAN
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State | MA
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Zip | 02126-2834
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Country | US
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Telephone | 617-533-2300
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Fax | 617-533-2301
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. CHARLES T. JONES
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Credential |
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Telephone | 617-533-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | MA
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