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General NPI Number Information
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NPI Number | 1639616204
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Entity Type | Organization
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Legal Business Name | HINGHAM MEDICAL CARE INC.
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 350 LINCOLN ST STE 1102
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City | HINGHAM
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State | MA
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Zip | 02043-1578
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Country | US
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Telephone | 781-740-0400
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Fax | 781-740-0200
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Provider Business Mailing Address
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Address Line | 107 HALSTED DR
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City | HINGHAM
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State | MA
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Zip | 02043-1661
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Country | US
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Telephone | 781-740-0400
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Fax | 781-740-0200
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLIVIA LANNA
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Credential | M.D.
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Telephone | 781-987-3388
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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 | 56882
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License Number State | MA
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