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General NPI Number Information
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NPI Number | 1477362663
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND REGIONAL HEALTHCARE AND WELLNESS
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 35 HARVARD ST STE 104
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City | WORCESTER
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State | MA
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Zip | 01609-2828
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Country | US
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Telephone | 774-214-2970
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Fax | 508-519-0057
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Provider Business Mailing Address
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Address Line | 3 WALTER ST
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City | WORCESTER
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State | MA
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Zip | 01609-1031
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Country | US
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Telephone | 774-214-2970
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Fax | 508-519-0577
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Authorized Official
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Title or Position | OWNER
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Name | GRANT PIERRE
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Credential | MD
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Telephone | 774-214-2970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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