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General NPI Number Information
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NPI Number | 1386869212
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Entity Type | Organization
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Legal Business Name | BRIAN J. AWBREY
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 151 MERRIMAC ST SUITE 202
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City | BOSTON
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State | MA
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Zip | 02114-4714
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Country | US
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Telephone | 617-726-3808
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Fax | 617-726-4812
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Provider Business Mailing Address
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Address Line | 151 MERRIMAC ST SUITE 202
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City | BOSTON
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State | MA
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Zip | 02114-4714
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Country | US
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Telephone | 617-726-3808
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Fax | 617-726-4812
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN J AWBREY
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Credential | M.D.
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Telephone | 617-726-3808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 54010
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License Number State | MA
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