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General NPI Number Information
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NPI Number | 1962730242
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Entity Type | Organization
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Legal Business Name | QUINCY MEDICAL CENTER
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 114 WHITWELL STREET
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City | QUINCY
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State | MA
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Zip | 02169-1870
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Country | US
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Telephone | 617-771-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 400 BROOKLINE AVENUE 13B
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City | BOSTON
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State | MA
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Zip | 02215-5406
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Country | US
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Telephone | 978-886-4728
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HOSPITALIST SERVICES
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Name | DR. ARUMUGAM THANAMULAYA
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Credential | M.D,
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Telephone | 617-773-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 256858
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License Number State | MA
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