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General NPI Number Information
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NPI Number | 1740436187
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Entity Type | Organization
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Legal Business Name | ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 300 LINDEN PONDS WAY
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City | HINGHAM
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State | MA
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Zip | 02043-3769
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Country | US
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Telephone | 781-534-7100
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Fax | 781-534-7358
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Provider Business Mailing Address
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Address Line | 5525 RESEARCH PARK DR 4TH FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21228-4664
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Country | US
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Telephone | 410-402-2258
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Fax | 410-204-7279
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Authorized Official
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Title or Position | EXECUTIVE VP/CHIEF MEDICAL OFFICER
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Name | MATTHEW NARRETT
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Credential | MD
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Telephone | 401-402-2261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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