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General NPI Number Information
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NPI Number | 1740219518
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Entity Type | Organization
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Legal Business Name | TOWN OF HOLLISTON
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 59 CENTRAL ST
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City | HOLLISTON
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State | MA
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Zip | 01746-2103
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Country | US
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Telephone | 508-429-4631
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Fax | 508-429-0614
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Provider Business Mailing Address
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Address Line | 1 EDWARD ST
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City | CANTON
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State | MA
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Zip | 02021-2303
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Country | US
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Telephone | 781-828-3533
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Fax | 781-828-2471
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MICHAEL P CASSIDY
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Credential | F.C.
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Telephone | 508-429-4631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3010
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License Number State | MA
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