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General NPI Number Information
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NPI Number | 1427588078
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Entity Type | Organization
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Legal Business Name | NAVICULAR LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 40 MECHANIC ST
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City | FOXBOROUGH
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State | MA
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Zip | 02035-2074
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Country | US
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Telephone | 508-543-0094
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Fax | 508-223-3498
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Provider Business Mailing Address
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Address Line | 140 PARK ST STE 1
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City | ATTLEBORO
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State | MA
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Zip | 02703-8048
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Country | US
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Telephone | 508-543-0094
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Fax | 508-223-3498
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Authorized Official
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Title or Position | OWNER
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Name | EDWIN KELLY MCLAUGHLIN
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Credential | DPM
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Telephone | 508-543-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MA1877
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License Number State | MA
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