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General NPI Number Information
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NPI Number | 1538302559
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH LINK
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 100 ERDMAN WAY
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City | LEOMINSTER
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State | MA
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Zip | 01453-1804
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Country | US
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Telephone | 978-466-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 76 JAQUES AVENUE
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City | WORCESTER
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State | MA
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Zip | 01610-2480
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Country | US
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Telephone | 508-860-1163
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. JORDAN A. OSHLAG
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Credential |
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Telephone | 508-860-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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