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General NPI Number Information
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NPI Number | 1427076967
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Entity Type | Organization
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Legal Business Name | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 75 FRANCIS ST
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City | BOSTON
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State | MA
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Zip | 02115-6110
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Country | US
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Telephone | 617-732-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 399 REVOLUTION DR STE 240
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City | SOMERVILLE
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State | MA
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Zip | 02145-1493
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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 | DIRECTOR, PE
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Name | JOANNA HAZELL
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Credential |
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Telephone | 781-254-4865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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