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General NPI Number Information
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NPI Number | 1669630950
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Entity Type | Organization
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Legal Business Name | UMASS MEMORIAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 119 BELMONT ST MEMORIAL CAMPUS
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City | WORCESTER
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State | MA
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Zip | 01605-2903
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Country | US
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Telephone | 508-421-1990
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Fax | 508-334-6100
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Provider Business Mailing Address
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Address Line | 119 BELMONT ST MEMORIAL CAMPUS
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City | WORCESTER
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State | MA
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Zip | 01605-2903
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Country | US
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Telephone | 508-421-1990
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Fax | 508-334-6100
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Authorized Official
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Title or Position | SVP FINANCE/CORP CONTROLLER
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Name | BRIAN HUGGINS
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Credential |
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Telephone | 508-334-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | MA0050106
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | DS89916
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License Number State | MA
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