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General NPI Number Information
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NPI Number | 1982607537
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Entity Type | Organization
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Legal Business Name | GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 874 PURCHASE ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-6232
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Country | US
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Telephone | 508-992-6553
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Fax | 508-984-8420
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Provider Business Mailing Address
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Address Line | 874 PURCHASE ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740
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Country | US
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Telephone | 508-992-6553
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Fax | 508-997-2498
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Authorized Official
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Title or Position | CEO
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Name | MS. CHERYL A BARTLETT
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Credential |
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Telephone | 508-992-6553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 4005
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License Number State | MA
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