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General NPI Number Information
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NPI Number | 1942450242
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Entity Type | Organization
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Legal Business Name | HALLMARK HEALTH MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 170 GOVERNORS AVE HALLMARK HEALTH MEDICAL ASSOCIATES INC (#2)-NON-PCHI
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City | MEDFORD
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State | MA
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Zip | 02155-1643
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Country | US
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Telephone | 781-338-7170
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Fax | 781-338-7173
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Provider Business Mailing Address
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Address Line | PO BOX 3237 HALLMARK HEALTH MEDICAL ASSOCIATES INC (#2)-NON-PCHI
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City | WOBURN
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State | MA
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Zip | 01888-3237
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Country | US
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Telephone | 781-338-7170
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Fax | 781-338-7173
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Authorized Official
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Title or Position | VICE PRESIDENT FISCAL SERVICES
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Name | MR. MICHAEL S TURILLI
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Credential |
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Telephone | 781-338-7415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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