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General NPI Number Information
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NPI Number | 1285096719
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Entity Type | Organization
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Legal Business Name | KIDSWELL PEDIATRICS & URGENT CARE PC
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 299 WASHINGTON ST
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City | NEWTON
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State | MA
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Zip | 02458-1612
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Country | US
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Telephone | 617-340-8899
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Fax | 617-916-0893
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Provider Business Mailing Address
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Address Line | 299 WASHINGTON ST
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City | NEWTON
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State | MA
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Zip | 02458-1612
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Country | US
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Telephone | 617-340-8899
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Fax | 617-916-0893
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Authorized Official
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Title or Position | CHIEF PHYSICIAN
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Name | JANET HSU-LIN
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Credential | M.D.
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Telephone | 617-340-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 222689
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 222689
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License Number State | MA
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