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NPI 1023081841

NPI 1023081841 : PAMELA CATTEL MD : SOUTH BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1023081841
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA CATTEL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2006
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    Last Update Date     |    02/09/2012
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Provider Practice Location Address
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    Address Line         |    409 W BROADWAY 
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    City                 |    SOUTH BOSTON
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    State                |    MA
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    Zip                  |    02127-2245
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    Country              |    US
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    Telephone            |    617-269-7500
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    Fax                  |    617-464-7512
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Provider Business Mailing Address
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    Address Line         |    409 W BROADWAY 
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    City                 |    SOUTH BOSTON
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    State                |    MA
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    Zip                  |    02127-2245
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    Country              |    US
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    Telephone            |    617-269-7500
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    Fax                  |    617-464-7512
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    77698
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    License Number State |    MA
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