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General NPI Number Information
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NPI Number | 1952715419
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Entity Type | Organization
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Legal Business Name | AFC PHYSICIANS OF MASSACHUSETTS, PC
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 42 BOSTON POST RD W
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1827
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Country | US
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Telephone | 508-658-0764
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 WORCESTER RD # 184
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5217
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Country | US
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Telephone | 508-863-3480
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES BRENNAN
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Credential |
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Telephone | 413-531-5755
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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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