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General NPI Number Information
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NPI Number | 1043131121
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Entity Type | Individual
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Provider Name | ABDELHAKIM KHELLAF M.D., C.M.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | MASS GENERAL BRIGHAM, 75 FRANCIS STREET, COTRAN 360H DEPT. OF PATHOLOGY
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-732-4699
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Fax |
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Provider Business Mailing Address
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Address Line | MASS GENERAL BRIGHAM, 75 FRANCIS STREET, COTRAN 360H DEPT. OF PATHOLOGY
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-732-4699
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Fax |
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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 | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 3020068
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License Number State | MA
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