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General NPI Number Information
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NPI Number | 1851486682
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Entity Type | Organization
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Legal Business Name | CAPE COD MEDICAL ENTERPRISES INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 57 MID TECH DR
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City | WEST YARMOUTH
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State | MA
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Zip | 02673
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Country | US
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Telephone | 508-775-0494
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Fax | 508-790-0396
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | YARMOUTH PORT
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State | MA
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Zip | 02675
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Country | US
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Telephone | 508-775-0494
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Fax | 508-790-0396
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LEO F GILDEA
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Credential |
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Telephone | 508-775-0494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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