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General NPI Number Information
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NPI Number | 1669055034
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Entity Type | Organization
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Legal Business Name | NANTUCKET COTTAGE HOSPITAL
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 10 VESPER LN
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City | NANTUCKET
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State | MA
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Zip | 02554-2737
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Country | US
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Telephone | 508-825-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 10 VESPER LN
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City | NANTUCKET
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State | MA
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Zip | 02554-2737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP COMPLIANCE
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Name | NANCY SUE PITTMAN
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Credential |
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Telephone | 508-825-8203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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