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General NPI Number Information
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NPI Number | 1770019903
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Entity Type | Organization
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Legal Business Name | WINCHESTER PHYSICIAN ASSOCIATES INC
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Dates
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Enumeration Date | 05/09/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 88 MONTVALE AVENUE
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-662-6400
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Fax | 781-979-4801
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Provider Business Mailing Address
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Address Line | 88 MONTVALE AVENUE
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-662-6400
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Fax | 781-979-4801
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Authorized Official
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Title or Position | MANAGER
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Name | EILEEN WILLS
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Credential |
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Telephone | 781-756-7273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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