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General NPI Number Information
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NPI Number | 1720022163
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Entity Type | Organization
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Legal Business Name | MERRIMACK VALLEY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 HIGHLAND AVE
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3867
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Country | US
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Telephone | 978-463-1295
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 S STATE COLLEGE BLVD SUITE 600
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City | ANAHEIM
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State | CA
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Zip | 92806-6136
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Country | US
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Telephone | 800-544-3215
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Fax |
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Authorized Official
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Title or Position | SENIOR VP, GEN. COUNSEL, SECRETARY
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Name | CHRISTOPHER J. JOYCE
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Credential |
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Telephone | 714-688-3505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 4462
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License Number State | MA
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