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General NPI Number Information
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NPI Number | 1255765988
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Entity Type | Organization
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Legal Business Name | KEW GROUP INC
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 840 MEMORIAL DR 4TH FLOOR
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3789
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Country | US
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Telephone | 617-945-7922
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Fax | 857-242-3949
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Provider Business Mailing Address
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Address Line | 840 MEMORIAL DR 4TH FLOOR
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3789
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Country | US
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Telephone | 617-945-7922
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Fax | 857-242-3949
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | SCOTT R SCHELL
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Credential | MD
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Telephone | 617-945-7922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 22D2060722
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License Number State | MA
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