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General NPI Number Information
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NPI Number | 1033247374
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL SERVICES PC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 555 COMMONWEALTH AVE
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City | NEWTON
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State | MA
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Zip | 02459-1602
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Country | US
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Telephone | 617-965-3306
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Fax | 617-965-3308
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Provider Business Mailing Address
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Address Line | 555 COMMONWEALTH AVE
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City | NEWTON
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State | MA
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Zip | 02459-1602
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Country | US
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Telephone | 617-965-3306
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Fax | 617-965-3308
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAMES P DOYLE
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Credential | DO
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Telephone | 617-965-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32963
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License Number State | MA
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