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General NPI Number Information
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NPI Number | 1578726790
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Entity Type | Organization
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Legal Business Name | OUTER CAPE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 3130 STATE HWY
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City | WELLFLEET
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State | MA
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Zip | 02667-7402
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Country | US
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Telephone | 508-349-3131
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Fax | 508-349-1311
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Provider Business Mailing Address
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Address Line | PO BOX 598
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City | HARWICH PORT
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State | MA
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Zip | 02646-0598
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Country | US
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Telephone | 508-905-2800
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Fax | 508-240-1244
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Authorized Official
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Title or Position | CEO
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Name | DAMIAN KELVIN LUTHER ARCHER
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Credential | MD
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Telephone | 978-432-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 4963
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License Number State | MA
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