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General NPI Number Information
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NPI Number | 1114985637
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Entity Type | Individual
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Provider Name | MICHAEL JON MUFSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BRIGHAM AND WOMENS HOSPITAL PSYCHIATRY
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City | CHESTNUT HILL
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State | MA
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Zip | 02467
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Country | US
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Telephone | 617-731-3703
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CYPRESS ST BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION
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City | BROOKLINE
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State | MA
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Zip | 02445
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Country | US
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Telephone | 617-582-1200
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 49728
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License Number State | MA
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