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General NPI Number Information
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NPI Number | 1417107723
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Entity Type | Organization
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Legal Business Name | HOPKINTON MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 73 W MAIN ST
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City | HOPKINTON
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State | MA
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Zip | 01748-1619
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Country | US
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Telephone | 508-435-6900
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Fax | 508-435-6999
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Provider Business Mailing Address
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Address Line | 73 W MAIN ST
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City | HOPKINTON
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State | MA
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Zip | 01748-1619
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Country | US
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Telephone | 508-435-6900
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Fax | 508-435-6999
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BUNDIT SOPCHOCKCHAI
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Credential | M.D.
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Telephone | 508-435-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 55412
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License Number State | MA
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