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General NPI Number Information
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NPI Number | 1083658686
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Entity Type | Individual
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Provider Name | PAUL KOTZAMPALTIRIS DO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 115 LINCOLN STREET METROWEST MEDICAL CENTER
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-655-0636
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Fax | 508-655-0665
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Provider Business Mailing Address
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Address Line | PO BOX 449
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City | NATICK
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State | MA
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Zip | 01760-0005
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Country | US
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Telephone | 508-655-0636
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Fax | 508-655-0665
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 208732
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 208732
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License Number State | MA
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