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General NPI Number Information
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NPI Number | 1306945027
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Entity Type | Organization
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Legal Business Name | EMERSON ANESTHESIA ASSOCIATES P C
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 133 OLD ROAD TO 9 ACRE COR
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City | CONCORD
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State | MA
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Zip | 01742-4159
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Country | US
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Telephone | 978-287-3162
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Fax |
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Provider Business Mailing Address
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Address Line | 1342 BELMONT ST SUITE 205
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City | BROCKTON
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State | MA
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Zip | 02301-4436
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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 | TREASURER
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Name | DR. SANJIV KUMAR
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Credential | MD
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Telephone | 978-287-3162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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