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General NPI Number Information
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NPI Number | 1164557914
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Entity Type | Organization
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Legal Business Name | THE ADAMS SECKEL CENTER
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 4 CENTENNIAL DRIVE STE 202
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City | PEABODY
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State | MA
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Zip | 01960
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Country | US
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Telephone | 978-531-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CENTENNIAL DRIVE STE 202
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City | PEABODY
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State | MA
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Zip | 01960
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Country | US
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Telephone | 978-531-0550
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | BROOKE SECKEL
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Credential | MD
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Telephone | 978-531-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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