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General NPI Number Information
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NPI Number | 1912105123
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Entity Type | Organization
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Legal Business Name | TOWN OF SPENCER
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 157 MAIN STREET
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City | SPENCER
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State | MA
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Zip | 01562
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Country | US
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Telephone | 508-885-7500
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Fax | 508-885-7519
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Provider Business Mailing Address
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Address Line | 157 MAIN STREET
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City | SPENCER
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State | MA
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Zip | 01562
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Country | US
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Telephone | 508-885-7500
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Fax | 508-885-7519
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Authorized Official
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Title or Position | BOARD OF HEALTH AGENT
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Name | MR. LEE JARVIS
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Credential |
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Telephone | 508-885-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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