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General NPI Number Information
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NPI Number | 1144544370
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Entity Type | Organization
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Legal Business Name | WOODLAND INTERNISTS, P.C.
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 3 WOODLAND RD SUITE 213
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City | STONEHAM
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State | MA
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Zip | 02180-1702
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Country | US
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Telephone | 781-662-7990
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Fax | 781-665-0391
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Provider Business Mailing Address
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Address Line | 3 WOODLAND RD SUITE 213
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City | STONEHAM
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State | MA
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Zip | 02180-1702
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Country | US
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Telephone | 781-662-7990
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Fax | 781-665-0391
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Authorized Official
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Title or Position | DIRECTOR
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Name | DHIREN K. SUTARIA
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Credential | M.D.
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Telephone | 781-662-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 52807
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License Number State | MA
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