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General NPI Number Information
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NPI Number | 1447321385
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Entity Type | Organization
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Legal Business Name | CHARLTON FAMILY PRACTICE
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 246 SOUTHBRIDGE ROAD
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City | CHARLTON
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State | MA
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Zip | 01507-5237
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Country | US
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Telephone | 508-248-7849
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Fax | 508-248-6541
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Provider Business Mailing Address
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Address Line | 246 SOUTHBRIDGE ROAD
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City | CHARLTON
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State | MA
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Zip | 01507-5237
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Country | US
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Telephone | 508-248-7849
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Fax | 508-248-6541
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | PAUL D HARRINGTON
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Credential | M.D.
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Telephone | 508-248-7849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 49523
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License Number State | MA
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