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General NPI Number Information
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NPI Number | 1801933841
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Entity Type | Organization
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Legal Business Name | NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1395 NORTH MAIN STREET
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City | RANDOLPH
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State | MA
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Zip | 02368-1768
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Country | US
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Telephone | 781-961-7887
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Fax | 781-986-8360
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Provider Business Mailing Address
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Address Line | 1395 NORTH MAIN STREET SUITE G
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City | RANDOLPH
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State | MA
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Zip | 02368-1768
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Country | US
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Telephone | 781-961-7887
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Fax | 781-986-8360
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | MRS. ROSEMARY BYRNE
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Credential | NP
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Telephone | 781-961-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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