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General NPI Number Information
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NPI Number | 1447214622
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Entity Type | Organization
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Legal Business Name | NANTUCKET COTTAGE HOSPITAL
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 57 PROSPECT ST
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City | NANTUCKET
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State | MA
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Zip | 02554-2799
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Country | US
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Telephone | 508-825-8100
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Fax | 508-825-8101
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Provider Business Mailing Address
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Address Line | 57 PROSPECT ST
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City | NANTUCKET
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State | MA
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Zip | 02554-2799
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Country | US
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Telephone | 508-825-8100
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Fax | 508-825-8101
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Authorized Official
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Title or Position | VP FINANCE
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Name | AARON FISHMAN
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Credential |
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Telephone | 508-825-8205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 099
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 2044
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License Number State | MA
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