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General NPI Number Information
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NPI Number | 1053148890
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Entity Type | Organization
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Legal Business Name | EMPATH MEDICINE INCORPORATED
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 130 BISHOP ALLEN DR STE 5
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City | CAMBRIDGE
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State | MA
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Zip | 02139-2499
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Country | US
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Telephone | 617-410-6069
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Fax |
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Provider Business Mailing Address
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Address Line | 5019 NOOR PARK CIR
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City | DUBLIN
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State | OH
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Zip | 43016-7075
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARIAM ABOUKAR
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Credential | DO
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Telephone | 614-446-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number |
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License Number State |
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