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General NPI Number Information
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NPI Number | 1952337784
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Entity Type | Organization
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Legal Business Name | DIGITRACE CARE SERVICES INC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 270 COMMUNICATION WAY 4B
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City | HYANNIS
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State | MA
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Zip | 02601-1883
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Country | US
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Telephone | 617-472-9821
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CORPORATE PLACE 5B
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City | PEABODY
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State | MA
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Zip | 01960
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Country | US
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Telephone | 978-536-7400
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Fax | 978-535-9778
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Authorized Official
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Title or Position | VP OF FINANCE AND ADMINISTRATION
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Name | MR. JOSEPH ROSE
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Credential |
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Telephone | 978-536-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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