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General NPI Number Information
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NPI Number | 1356695985
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND CONSULTANTS IN GASTROENTEROLOGY AND HEPATOLOGY
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 855 WORCESTER RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5258
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Country | US
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Telephone | 508-872-0508
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Fax | 508-872-0588
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Provider Business Mailing Address
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Address Line | 855 WORCESTER RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5258
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Country | US
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Telephone | 508-872-0508
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Fax | 508-872-0588
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KHALID AZIZ
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Credential | M.D.
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Telephone | 508-872-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 230367
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 230294
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License Number State | MA
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