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General NPI Number Information
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NPI Number | 1669773016
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Entity Type | Organization
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Legal Business Name | WINDSOR HEALTH CENTER
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 119 WINDSOR ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3647
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Country | US
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Telephone | 617-665-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 119 WINDSOR ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3647
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Country | US
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Telephone | 617-665-3600
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTICE ADMINISTRATOR
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Name | MS. CILORENE I WEEKES-CABEY
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Credential | RN
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Telephone | 617-665-3638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 159828
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License Number State | MA
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