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General NPI Number Information
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NPI Number | 1215134325
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Entity Type | Individual
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Provider Name | MICHAEL J. REGAN IV MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 800 WASHINGTON ST
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City | NORWOOD
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State | MA
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Zip | 02062-3487
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Country | US
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Telephone | 781-769-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 62 LENOX DR
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City | FRANKLIN
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State | MA
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Zip | 02038-1189
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Country | US
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Telephone |
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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 | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 89997183
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 89997183
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 238929
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License Number State | MA
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