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General NPI Number Information
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NPI Number | 1649317595
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Entity Type | Organization
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Legal Business Name | BAY COVE HUMAN SERVICES, INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 105 VICTORY RD
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City | DORCHESTER
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State | MA
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Zip | 02122-3518
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Country | US
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Telephone | 617-371-3010
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Fax | 617-371-3044
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Provider Business Mailing Address
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Address Line | 105 VICTORY RD
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City | DORCHESTER
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State | MA
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Zip | 02122-3518
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Country | US
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Telephone | 617-371-3010
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Fax | 617-371-3044
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Authorized Official
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Title or Position | COO & SVP
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Name | CARLEY LUBARSKY
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Credential |
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Telephone | 617-371-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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