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General NPI Number Information
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NPI Number | 1083662332
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Entity Type | Individual
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Provider Name | ALBERT A ACKIL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 15 ROCHE BROTHERS WAY SUITE 100
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City | NORTH EASTON
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State | MA
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Zip | 02356-1000
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Country | US
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Telephone | 508-238-3455
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Fax | 508-238-2296
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Provider Business Mailing Address
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Address Line | PO BOX 859207
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City | BRAINTREE
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State | MA
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Zip | 02185-9207
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Country | US
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Telephone | 800-927-0014
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 36162
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License Number State | MA
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