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General NPI Number Information
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NPI Number | 1437295714
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Entity Type | Organization
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Legal Business Name | NEWTON WELLESLEY SURGEONS INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 2000 WASHINGTON ST SUITE 365
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City | NEWTON
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State | MA
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Zip | 02462-1650
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Country | US
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Telephone | 617-244-5355
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Fax | 617-244-8662
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Provider Business Mailing Address
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Address Line | 2000 WASHINGTON STREET SUITE 365
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City | NEWTON
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State | MA
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Zip | 02462-1627
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Country | US
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Telephone | 617-244-5355
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Fax | 617-244-8662
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. MARILYN K CAMPBELL
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Credential |
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Telephone | 617-244-5355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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