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General NPI Number Information
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NPI Number | 1477123529
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Entity Type | Organization
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Legal Business Name | SOUTHEAST RHEUMATOLOGY LLC
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 72 WASHINGTON ST STE 1200
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City | TAUNTON
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State | MA
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Zip | 02780-2470
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Country | US
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Telephone | 508-828-4511
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Fax | 508-828-4512
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Provider Business Mailing Address
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Address Line | 5 PIONEER CIR
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City | SHARON
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State | MA
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Zip | 02067-2724
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Country | US
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Telephone | 508-828-4511
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SYEDA SAYEED
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Credential | MD
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Telephone | 401-663-1351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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