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General NPI Number Information
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NPI Number | 1194711614
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Entity Type | Individual
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Provider Name | STANLEY JAMES ADELSTEIN M.D., PHD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 75 FRANCIS ST RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
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City | BOSTON
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State | MA
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Zip | 02115-6110
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Country | US
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Telephone | 617-732-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 220 LONGWOOD AVE GOLDENSON BUILDING--ROOM B244
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City | BOSTON
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State | MA
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Zip | 02115-5701
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Country | US
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Telephone | 617-432-4152
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Fax | 617-432-2419
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 23929
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License Number State | MA
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