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General NPI Number Information
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NPI Number | 1083537716
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Entity Type | Organization
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Legal Business Name | AUREVIA HEALTH MEDICAL, PLLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 386 WASHINGTON ST
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City | WELLESLEY
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State | MA
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Zip | 02481-6213
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Country | US
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Telephone | 781-489-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 386 WASHINGTON ST
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City | WELLESLEY
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State | MA
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Zip | 02481-6213
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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 | OWNER
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Name | AIDA MARTINEZ
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Credential | MD
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Telephone | 617-955-9257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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