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General NPI Number Information
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NPI Number | 1699361634
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 600 CORDWAINER DR STE 101
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City | NORWELL
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State | MA
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Zip | 02061-1644
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Country | US
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Telephone | 239-290-7297
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Fax |
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Provider Business Mailing Address
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Address Line | 210 WHITING ST STE 7
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City | HINGHAM
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State | MA
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Zip | 02043-3724
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Country | US
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Telephone | 239-290-7297
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DAVID BASSANO
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Credential |
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Telephone | 239-290-7297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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