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General NPI Number Information
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NPI Number | 1316017536
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Entity Type | Organization
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Legal Business Name | CHELMSFORD PEDIATRICS
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7 VILLAGE SQUARE
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City | CHELMSFORD
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State | MA
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Zip | 01824
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Country | US
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Telephone | 978-256-4363
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Fax | 978-256-1565
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Provider Business Mailing Address
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Address Line | 7 VILLAGE SQUARE
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City | CHELMSFORD
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State | MA
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Zip | 01824
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Country | US
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Telephone | 978-256-4363
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Fax | 978-256-1565
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Authorized Official
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Title or Position | SR PARTNER
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Name | DR. IRVING JAY NEWMAN
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Credential | MD
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Telephone | 978-256-4363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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