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General NPI Number Information
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NPI Number | 1770373573
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Entity Type | Organization
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Legal Business Name | MANET COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 110 WEST SQUANTUM STREET
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City | NORTH QUINCY
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State | MA
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Zip | 02171-2122
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Country | US
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Telephone | 617-638-8140
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Fax | 617-638-8149
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Provider Business Mailing Address
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Address Line | 110 WEST SQUANTUM STREET
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City | NORTH QUINCY
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State | MA
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Zip | 02171-2122
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Country | US
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Telephone | 774-559-0249
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Fax |
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Authorized Official
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Title or Position | VP PHARMACY OPERATIONS
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Name | JOHN AWAD
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Credential |
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Telephone | 603-493-6537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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