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General NPI Number Information
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NPI Number | 1801994389
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Entity Type | Organization
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Legal Business Name | SOUTH SHORE HOSPITAL INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 100 BAY STATE DRIVE
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City | BRAINTREE
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State | MA
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Zip | 02184-9060
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Country | US
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Telephone | 781-849-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BAY STATE DRIVE
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City | BRAINTREE
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State | MA
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Zip | 02184-9060
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Country | US
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Telephone | 781-849-1710
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT COO
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Name | JOSEPH CAHILL
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Credential |
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Telephone | 781-340-8622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 009
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License Number State | MA
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