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NPI 1982613691

NPI 1982613691 : BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC. : TAUNTON, MA

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General NPI Number Information
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    NPI Number           |    1982613691
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    Entity Type          |    Organization 
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    Legal Business Name  |    BIO-MEDICAL APPLICATIONS OF MASSACHUSETTS, INC. 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    05/14/2008
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Provider Practice Location Address
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    Address Line         |    1 WASHINGTON ST 
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    City                 |    TAUNTON
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    State                |    MA
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    Zip                  |    02780-3960
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    Country              |    US
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    Telephone            |    508-880-0889
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 WASHINGTON ST 
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    City                 |    TAUNTON
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    State                |    MA
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    Zip                  |    02780-3960
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    TREASURER
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    Name                 |     MARK  FAWCETT 
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    Credential           |    
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    Telephone            |    781-699-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QE0700X
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    Taxonomy Name        |    End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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    License Number       |    
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    License Number State |    
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