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General NPI Number Information
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NPI Number | 1689175846
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Entity Type | Organization
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Legal Business Name | VALUE IN PREVENTION OF MASSACHUSETTS, LLC
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 349 ROUTE 28 STE A
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City | WEST YARMOUTH
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State | MA
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Zip | 02673-4620
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Country | US
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Telephone | 508-394-2017
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Fax | 508-398-6680
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Provider Business Mailing Address
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Address Line | 4950 COMMUNICATION AVE STE 100
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City | BOCA RATON
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State | FL
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Zip | 33431-3308
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Country | US
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Telephone | 561-400-2713
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Fax | 561-953-6617
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Authorized Official
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Title or Position | MANAGER
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Name | ANDREA KLEMES
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Credential | DO
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Telephone | 561-982-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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