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General NPI Number Information
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NPI Number | 1811190648
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Entity Type | Organization
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Legal Business Name | PLYMOUTH COUNTY SHERIFF'S DEPARTMENT
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 26 LONG POND RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-2606
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Country | US
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Telephone | 508-830-6200
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Fax | 508-830-6217
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Provider Business Mailing Address
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Address Line | 26 LONG POND RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-2606
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Country | US
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Telephone | 508-830-6200
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Fax | 508-830-6217
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN B HOWARD
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Credential | M.D.
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Telephone | 508-830-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | AH1974434
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License Number State | MA
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