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General NPI Number Information
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NPI Number | 1063490431
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Entity Type | Individual
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Provider Name | GEOFFREY KRAY SHERWOOD M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 1153 CENTRE ST DFCI/BWH CANCER CLINIC AT FAULKNER HOSPITAL
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City | BOSTON
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State | MA
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Zip | 02130-3446
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Country | US
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Telephone | 617-983-7160
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Fax | 617-983-7860
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Provider Business Mailing Address
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Address Line | 1153 CENTRE ST
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City | BOSTON
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State | MA
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Zip | 02130-3446
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Country | US
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Telephone | 617-983-4734
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Fax | 617-983-4735
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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 | 38173
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License Number State | MA
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