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General NPI Number Information
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NPI Number | 1548465586
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Entity Type | Organization
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Legal Business Name | SOUTH SHORE COMMUNITY ACTION COUNCIL, INC.
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 265 S MEADOW RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4782
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Country | US
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Telephone | 508-747-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 265 S MEADOW RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4782
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Country | US
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Telephone | 508-747-7575
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PATRICIA DALY
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Credential |
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Telephone | 508-747-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 72406070
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License Number State | MA
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