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General NPI Number Information
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NPI Number | 1336160183
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Entity Type | Individual
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Provider Name | DR. RALPH E TALBOT
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 391 BROADWAY SUITE 304
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City | EVERETT
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State | MA
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Zip | 02149-3470
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Country | US
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Telephone | 617-381-0555
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Fax | 949-955-7321
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Provider Business Mailing Address
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Address Line | 391 BROADWAY SUITE 304
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City | EVERETT
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State | MA
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Zip | 02149-3470
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Country | US
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Telephone | 617-381-0555
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Fax | 949-955-7321
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 44105
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License Number State | MA
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