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General NPI Number Information
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NPI Number | 1417906223
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Entity Type | Individual
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Provider Name | RICHARD MASON MCNEER III MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26 CITY HALL MALL
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City | MEDFORD
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State | MA
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Zip | 02155-4754
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Country | US
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Telephone | 781-306-5298
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Fax | 781-306-5227
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Provider Business Mailing Address
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Address Line | 42 BROOKFORD ST
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City | CAMBRIDGE
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State | MA
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Zip | 02140-1603
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Country | US
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Telephone | 617-491-3989
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Fax | 781-306-5227
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 49115
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License Number State | MA
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