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General NPI Number Information
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NPI Number | 1316094782
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Entity Type | Organization
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Legal Business Name | ARLINGTON PEDIATRIC ASSOCIATES, P.C.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 WATER ST
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City | ARLINGTON
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State | MA
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Zip | 02476-4807
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Country | US
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Telephone | 781-641-5800
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Fax | 339-707-6028
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Provider Business Mailing Address
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Address Line | 5 WATER ST
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City | ARLINGTON
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State | MA
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Zip | 02476-4807
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Country | US
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Telephone | 781-641-5800
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Fax | 339-707-6028
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH LANDIS
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Credential | M.D.
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Telephone | 781-641-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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