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General NPI Number Information
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NPI Number | 1528034493
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Entity Type | Organization
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Legal Business Name | TOWN OF WATERTOWN
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 149 MAIN ST
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City | WATERTOWN
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State | MA
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Zip | 02472-4410
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Country | US
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Telephone | 617-972-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 149 MAIN ST
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City | WATERTOWN
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State | MA
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Zip | 02472-4410
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Country | US
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Telephone | 617-682-1854
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | RYAN NICHOLSON
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Credential |
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Telephone | 617-972-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 3437
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License Number State | MA
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