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General NPI Number Information
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NPI Number | 1427161660
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Entity Type | Organization
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Legal Business Name | BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
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City | BURLINGTON
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State | MA
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Zip | 01805
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Country | US
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Telephone | 978-927-0714
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Fax |
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Provider Business Mailing Address
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Address Line | 20 UNIVERSITY RD STE 700
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5810
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Country | US
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Telephone | 978-927-0714
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX BARKER
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Credential |
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Telephone | 781-744-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 28967
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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