Basic Information
Provider Information
NPI: 1891821625
EntityType: 2
ReplacementNPI:  
OrganizationName: TOWN OF STOUGHTON
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 232 PEARL ST
Address2:  
City: STOUGHTON
State: MA
PostalCode: 020722325
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 232 PEARL ST
Address2:  
City: STOUGHTON
State: MA
PostalCode: 020722325
CountryCode: US
TelephoneNumber: 7813444000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/26/2007
LastUpdateDate: 06/17/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MCCARTHY
AuthorizedOfficialFirstName: CLAIRE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: SUPERINTENDENT
AuthorizedOfficialTelephone: 7813444000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251300000X  Y AgenciesLocal Education Agency (LEA) 

No ID Information.


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