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General NPI Number Information
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NPI Number | 1366032617
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Entity Type | Organization
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Legal Business Name | EMERSON ENDOSCOPY AND DIGESTIVE HEALTH CENTER, LLC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 310 BAKER AVE STE 175A
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City | CONCORD
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State | MA
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Zip | 01742-2140
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Country | US
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Telephone | 215-589-9024
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Fax |
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Provider Business Mailing Address
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Address Line | 310 BAKER AVE STE 175A
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City | CONCORD
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State | MA
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Zip | 01742-2140
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Country | US
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Telephone | 978-776-1710
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Fax | 978-776-1750
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTINE SCHULTZ
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Credential |
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Telephone | 978-776-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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