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General NPI Number Information
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NPI Number | 1891641916
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Entity Type | Organization
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Legal Business Name | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS HMO BLUE, INC.
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 101 HUNTINGTON AVE MAIL STOP 0119-1911 C/O KRISTIN JEAN
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City | BOSTON
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State | MA
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Zip | 02199
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Country | US
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Telephone | 888-376-0644
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Fax | 617-246-3017
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Provider Business Mailing Address
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Address Line | 101 HUNTINGTON AVE MAIL STOP 0119-1911 C/O KRISTIN JEAN
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City | BOSTON
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State | MA
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Zip | 02199
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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 | CHIEF FINANCIAL OFFICER
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Name | MS. RUBY KAM
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Credential |
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Telephone | 617-246-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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