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General NPI Number Information
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NPI Number | 1861886509
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Entity Type | Organization
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Legal Business Name | WHIDDEN MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 103 GARLAND ST
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City | EVERETT
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State | MA
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Zip | 02149-5066
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Country | US
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Telephone | 617-389-6270
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Fax |
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Provider Business Mailing Address
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Address Line | 103 GARLAND ST
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City | EVERETT
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State | MA
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Zip | 02149-5066
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | SAMANTHA R JOYCE
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Credential | RN
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Telephone | 248-918-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN2297526
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License Number State | MA
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