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NPI 1235692021

NPI 1235692021 : BRIAN SOU MD : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1235692021
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN SOU MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/09/2019
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    75 FRANCIS STREET, CWN L1 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02115
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    Country              |    US
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    Telephone            |    917-991-9912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS STREET, CWN L1
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02115
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    Country              |    US
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    Telephone            |    617-732-8210
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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        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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    License Number       |    291873
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    291873
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    291873
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    License Number State |    MA
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