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General NPI Number Information
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NPI Number | 1043479090
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Entity Type | Individual
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Provider Name | DANIEL ETHAN BOXER MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 5520 PARK AVENUE GARDEN LEVEL
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City | TRUMBALL
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State | CT
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Zip | 06611
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Country | US
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Telephone | 203-502-8400
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Fax | 203-845-4897
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Provider Business Mailing Address
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Address Line | 333 CEDAR STREET, YALE MEDICAL SCHOOL WWW205
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 203-845-4811
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Fax | 203-845-4897
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 56291
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License Number State | CT
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