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General NPI Number Information
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NPI Number | 1821095779
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS, INC.
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 1055 COMMONWEALTH AVE
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City | BOSTON
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State | MA
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Zip | 02215-1001
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Country | US
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Telephone | 617-616-1600
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Fax | 617-616-1603
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Provider Business Mailing Address
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Address Line | 1055 COMMONWEALTH AVE
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City | BOSTON
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State | MA
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Zip | 02215-1001
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Country | US
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Telephone | 617-616-1600
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Fax | 617-616-1603
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Authorized Official
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Title or Position | CFO
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Name | JASON LEVY
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Credential |
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Telephone | 617-616-1684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 440
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 2241367
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 2241343
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 2241355
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 2241379
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 0055170
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License Number State | MA
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