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General NPI Number Information
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NPI Number | 1427050640
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Entity Type | Individual
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Provider Name | SETH D. BILAZARIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 22 CHERRY HILL DR
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City | DANVERS
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State | MA
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Zip | 01923-2575
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Country | US
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Telephone | 978-646-1810
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Fax |
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Provider Business Mailing Address
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Address Line | 73 BARTLET ST
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City | ANDOVER
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State | MA
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Zip | 01810-4138
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Country | US
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Telephone | 978-474-0579
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 70372
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 70372
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 70372
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License Number State | MA
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