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General NPI Number Information
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NPI Number | 1992779482
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Entity Type | Organization
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Legal Business Name | ANNA JAQUES HOSPITAL
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 25 HIGHLAND AVE
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3867
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Country | US
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Telephone | 978-463-1000
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Fax | 978-834-8108
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Provider Business Mailing Address
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Address Line | 25 HIGHLAND AVE
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3867
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Country | US
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Telephone | 978-463-1000
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Fax | 978-834-8108
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. DELIA OCONNOR
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Credential |
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Telephone | 978-463-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 683
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4004
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 30
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License Number State | MA
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