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General NPI Number Information
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NPI Number | 1477802387
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Entity Type | Organization
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Legal Business Name | BOSTON ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 175 WORCESTER ST
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-5514
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Country | US
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Telephone | 781-591-7813
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Fax | 617-754-0820
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD STE 300
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City | NASHVILLE
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State | TN
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Zip | 37215-6153
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Country | US
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Telephone | 615-240-3820
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Fax | 615-234-1720
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. KATHERINE JUDKINS
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Credential |
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Telephone | 615-240-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | ADMQ
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License Number State | MA
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