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General NPI Number Information
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NPI Number | 1982760351
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Entity Type | Organization
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Legal Business Name | CARITAS ST. ELIZABETH'S MEDICAL CENTER
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 77 WARREN ST PHARMACY DEPARTMENT
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City | BRIGHTON
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State | MA
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Zip | 02135-3601
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Country | US
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Telephone | 617-562-5302
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Fax | 617-562-5296
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Provider Business Mailing Address
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Address Line | 77 WARREN ST PHARMACY DEPARTMENT
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City | BRIGHTON
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State | MA
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Zip | 02135-3601
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Country | US
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Telephone | 617-562-5302
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Fax | 617-562-5296
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. JAMES JOSEPH GERMANO
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Credential | R.PH.
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Telephone | 617-562-5302
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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 | BB4261575
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | BB3797113
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License Number State | MA
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