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General NPI Number Information
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NPI Number | 1740735539
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Entity Type | Organization
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Legal Business Name | ADDICTION CAMPUSES OF MASSACHUSETTS
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 151 SOUTH ST
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City | CUMMINGTON
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State | MA
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Zip | 01026-9501
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Country | US
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Telephone | 413-634-8027
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Fax | 413-634-5300
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Provider Business Mailing Address
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Address Line | 151 SOUTH ST
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City | CUMMINGTON
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State | MA
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Zip | 01026-9501
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Country | US
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Telephone | 413-634-3600
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Fax | 413-634-5300
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. ABRAHAM SILBER
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Credential |
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Telephone | 646-464-3883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | MA
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