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General NPI Number Information
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NPI Number | 1093736910
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Entity Type | Individual
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Provider Name | JEFFREY GASSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 110 LIBERTY ST STE 1A
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City | BROCKTON
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State | MA
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Zip | 02301-5674
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Country | US
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Telephone | 508-565-3055
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Fax | 508-894-0757
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Provider Business Mailing Address
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Address Line | 235 HANOVER ST
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City | FALL RIVER
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State | MA
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Zip | 02720-5246
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Country | US
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Telephone | 508-646-9525
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Fax | 508-679-7177
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 52181
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License Number State | MA
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