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General NPI Number Information
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NPI Number | 1629718226
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Entity Type | Organization
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Legal Business Name | LAHEY CLINIC HOSPITAL INC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 41 MALL RD
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City | BURLINGTON
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State | MA
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Zip | 01805-0002
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Country | US
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Telephone | 781-744-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 41 MALL RD
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City | BURLINGTON
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State | MA
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Zip | 01805-0002
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Country | US
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Telephone | 781-744-8100
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. PRAVEEN MEKALA
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Credential |
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Telephone | 781-744-2918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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