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General NPI Number Information
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NPI Number | 1023347127
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND SPINE CARE ASSOCIATES
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 799 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1048
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Country | US
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Telephone | 617-547-7163
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Fax | 617-547-7165
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Provider Business Mailing Address
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Address Line | 799 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1048
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Country | US
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Telephone | 617-547-7163
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Fax | 617-547-7165
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SEYED A MOSTOUFI
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Credential | M.D.
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Telephone | 617-547-7163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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