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General NPI Number Information
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NPI Number | 1609825413
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Entity Type | Organization
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Legal Business Name | WESTFORD INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 133 LITTLETON RD SUITE 202
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City | WESTFORD
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State | MA
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Zip | 01886-3115
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Country | US
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Telephone | 978-577-1946
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Fax | 978-692-4716
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Provider Business Mailing Address
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Address Line | 133 LITTLETON RD SUITE 202
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City | WESTFORD
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State | MA
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Zip | 01886-3115
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Country | US
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Telephone | 978-577-1946
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Fax | 978-692-4716
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CONNIE D DEVEAU
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Credential | CPC
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Telephone | 978-577-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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