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General NPI Number Information
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NPI Number | 1992897243
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Entity Type | Organization
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Legal Business Name | CAPE COD MEDICAL ENTERPRISES INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 57 MID-TECH DR
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City | WEST YARMOUTH
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State | MA
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Zip | 02673-2561
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Country | US
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Telephone | 508-775-0494
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Fax | 508-790-0396
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Provider Business Mailing Address
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Address Line | PO BOX 842323
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City | BOSTON
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State | MA
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Zip | 02284-2323
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Country | US
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Telephone | 888-876-2100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARLES MAYMON
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Credential |
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Telephone | 888-876-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3475
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License Number State | MA
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