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General NPI Number Information
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NPI Number | 1285073171
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Entity Type | Individual
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Provider Name | SHREEDHAR PAUDEL M.D., MPH
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 73 HIGH ST
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City | CHARLESTOWN
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State | MA
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Zip | 02129
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Country | US
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Telephone | 718-724-9268
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Fax |
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Provider Business Mailing Address
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Address Line | 73 HIGH ST
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City | CHARLESTOWN
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State | MA
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Zip | 02129-3026
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Country | US
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Telephone | 617-643-1175
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Fax | 617-643-1331
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 256306
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License Number State | MA
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