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NPI 1609888601

NPI 1609888601 : NEW ENGLAND THERAPEUTICS INC : DRACUT, MA

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General NPI Number Information
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    NPI Number           |    1609888601
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW ENGLAND THERAPEUTICS INC 
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Dates
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    Enumeration Date     |    08/12/2006
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    Last Update Date     |    03/23/2012
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Provider Practice Location Address
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    Address Line         |    1927 LAKEVIEW AVE 
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    City                 |    DRACUT
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    State                |    MA
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    Zip                  |    01826-3207
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    Country              |    US
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    Telephone            |    978-957-0438
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    Fax                  |    978-957-0439
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Provider Business Mailing Address
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    Address Line         |    1927 LAKEVIEW AVE 
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    City                 |    DRACUT
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    State                |    MA
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    Zip                  |    01826
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    Country              |    US
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    Telephone            |    978-957-0438
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    Fax                  |    978-957-0439
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Authorized Official
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    Title or Position    |    PRESIDENT MANAGER
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    Name                 |    MR. STEVEN  MICHAEL 
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    Credential           |    
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    Telephone            |    978-957-0438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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