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General NPI Number Information
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NPI Number | 1154065241
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Entity Type | Individual
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Provider Name | SARA R RENDELL MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 45 FRANCIS ST
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City | BOSTON
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State | MA
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Zip | 02115-6105
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Country | US
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Telephone | 617-732-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 55 FRUIT STREET BUL-1-130
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone |
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Fax | 215-615-3995
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 3015675
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License Number State | MA
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