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General NPI Number Information
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NPI Number | 1073592101
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Entity Type | Individual
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Provider Name | ERAN DANIEL METZGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 1200 CENTRE ST HEBREW REHABILITATION CENTER
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City | ROSLINDALE
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State | MA
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Zip | 02131-1011
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Country | US
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Telephone | 617-363-8481
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Fax | 617-363-8929
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Provider Business Mailing Address
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Address Line | 59 GRIGGS RD
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City | BROOKLINE
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State | MA
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Zip | 02446-4701
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Country | US
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Telephone | 617-363-8481
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Fax | 617-363-8929
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 60115
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License Number State | MA
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