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General NPI Number Information
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NPI Number | 1801056486
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Entity Type | Organization
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Legal Business Name | THE CAMBRIDGE HEALTH ALLIANCE
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1493 CAMBRIDGE ST PSYCHIATRIC EMERGENCY SERVICE
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1047
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Country | US
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Telephone | 617-665-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 1493 CAMBRIDGE STREET THE CAMBRIDGE HOSPITAL
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City | CAMBRIDGE
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State | MA
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Zip | 02139
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Country | US
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Telephone | 617-665-1572
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Fax | 617-665-1843
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Authorized Official
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Title or Position | CLINICAL NURSE SPECIALIST
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Name | MS. KATHRYN KUNZE BRACKETT
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Credential | APRN
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Telephone | 617-665-1572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 135703
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License Number State | MA
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