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General NPI Number Information
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NPI Number | 1003293085
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Entity Type | Organization
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Legal Business Name | HARVARD UNIVERSITY
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 9 SEWALL AVE 313
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City | BROOKLINE
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State | MA
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Zip | 02446
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Country | US
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Telephone | 617-632-8986
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SEWALL AVE 313
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City | BROOKLINE
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State | MA
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Zip | 02446
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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 | MD
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Name | DR. LIANGYU ZOU
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Credential |
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Telephone | 617-632-7715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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