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General NPI Number Information
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NPI Number | 1326029802
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Entity Type | Individual
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Provider Name | JAROSLAW JAC MD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 150 FLANDERS RD
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1017
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Country | US
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Telephone | 508-870-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 15 HOSPITAL DR
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City | YORK
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State | ME
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Zip | 03909-1011
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Country | US
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Telephone | 207-351-2478
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Fax | 207-351-2216
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35312
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 238060
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD13980
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35312
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | J9106
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 238060
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License Number State | MA
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