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General NPI Number Information
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NPI Number | 1033259460
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Entity Type | Organization
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Legal Business Name | NORTH SUBURBAN SURGICAL ASSOCIATES PC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/06/2019
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Provider Practice Location Address
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Address Line | 3 WOODLAND ROAD SUITE 212
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-662-2288
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Fax | 781-662-7546
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Provider Business Mailing Address
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Address Line | 3 WOODLAND ROAD SUITE 212
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City | STONEHAM
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State | MA
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Zip | 02180
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Country | US
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Telephone | 781-662-2288
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Fax | 781-662-7546
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. DARIUS AMERI
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Credential | MD
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Telephone | 781-662-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57581
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License Number State | MA
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