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General NPI Number Information
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NPI Number | 1659779288
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 12/14/2014
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Last Update Date | 12/14/2014
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Provider Practice Location Address
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Address Line | 126 UNION ST SUITE #1
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1207
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Country | US
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Telephone | 508-229-0239
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Fax | 508-229-0251
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Provider Business Mailing Address
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Address Line | 269 SIMPSON RD
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City | MARLBOROUGH
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State | MA
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Zip | 01752-6507
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Country | US
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Telephone | 508-485-4317
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY A SCOTT
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Credential | M.D.
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Telephone | 774-249-3481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 74656
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License Number State | MA
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