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General NPI Number Information
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NPI Number | 1083609754
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Entity Type | Individual
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Provider Name | CAROLYN ALDREDGE MD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 690 CANTON ST STE 240
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City | WESTWOOD
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State | MA
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Zip | 02090-2326
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Country | US
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Telephone | 339-204-9516
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Fax | 781-459-4698
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Provider Business Mailing Address
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Address Line | 690 CANTON ST STE 240
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City | WESTWOOD
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State | MA
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Zip | 02090-2326
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Country | US
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Telephone | 339-204-9516
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Fax | 781-459-4698
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 50705
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License Number State | MA
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