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General NPI Number Information
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NPI Number | 1750717815
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE HEALTH ALLIANCE
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 230 HIGHLAND AVE
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City | SOMERVILLE
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State | MA
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Zip | 02143-1408
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Country | US
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Telephone | 203-858-3343
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ROSE AVE
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City | WATERTOWN
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State | MA
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Zip | 02472-3012
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | R.N.
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Name | ANNA LEIGH REYES
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Credential |
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Telephone | 203-858-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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