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NPI 1366543357

NPI 1366543357 : WILLIAM BARON ROTHSCHILD M.D. : WELLESLEY, MA

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General NPI Number Information
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    NPI Number           |    1366543357
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM BARON ROTHSCHILD M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/25/2006
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    Last Update Date     |    07/12/2010
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Provider Practice Location Address
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    Address Line         |    49 EISENHOWER CIR 
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    City                 |    WELLESLEY
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    State                |    MA
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    Zip                  |    02482-7120
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    Country              |    US
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    Telephone            |    781-237-2367
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    Fax                  |    781-232-6399
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Provider Business Mailing Address
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    Address Line         |    49 EISENHOWER CIR 
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    City                 |    WELLESLEY
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    State                |    MA
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    Zip                  |    02482-7120
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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       |    35742
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    License Number State |    MA
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