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General NPI Number Information
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NPI Number | 1326488115
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Entity Type | Organization
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Legal Business Name | PHONEDOCTORX, LLC.
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 350 MILL RD SUITE 350 B
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-999-3133
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Fax | 508-999-3533
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Provider Business Mailing Address
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Address Line | 200 MILL RD SUITE 350 B
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-999-3133
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Fax | 508-999-3533
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. JOSEPH ANTHONY SPIRITO JR.
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Credential | M.D.
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Telephone | 508-999-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 59251
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 47496
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 53803
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 43920
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 150105
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 231610
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 224456
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 229250
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License Number State | MA
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 241692
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License Number State | MA
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Taxonomy #10
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 36492
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License Number State | MA
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Taxonomy #11
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 43492
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License Number State | MA
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