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General NPI Number Information
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NPI Number | 1790223220
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Entity Type | Organization
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Legal Business Name | UHS OF WESTWOOD PEMBROKE
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Dates
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Enumeration Date | 02/04/2017
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Last Update Date | 02/04/2017
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Provider Practice Location Address
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Address Line | 456 MAMMOTH RD APT 2
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City | DRACUT
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State | MA
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Zip | 01826-6157
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Country | US
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Telephone | 978-995-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 456 MAMMOTH RD APT 2
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City | DRACUT
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State | MA
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Zip | 01826-6157
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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 | REGISTERED NURSE
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Name | MONY CHAU
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Credential |
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Telephone | 978-995-1995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | RN2275698
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License Number State | MA
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