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General NPI Number Information
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NPI Number | 1225107345
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Entity Type | Individual
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Provider Name | ANTHONY L MCCLUNEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 736 CAMBRIDGE STREET STEWARD ST. ELIZABETH'S MEDICAL CENTER
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City | BRIGHTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-789-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 59 WALPOLE ST APT# 215
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City | CANTON
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State | MA
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Zip | 02021-1873
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 229696
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License Number State | MA
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