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General NPI Number Information
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NPI Number | 1487644126
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Entity Type | Individual
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Provider Name | JUDITH SARA FISCH MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 151 EVERETT AVE CHELSEA HEALTHCARE CENTER
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City | CHELSEA
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State | MA
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Zip | 02150-2309
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Country | US
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Telephone | 617-887-4600
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Fax | 617-887-4646
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Provider Business Mailing Address
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Address Line | PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
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City | CHARLESTOWN
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State | MA
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Zip | 02129-9142
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Country | US
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Telephone | 617-887-4600
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Fax | 617-887-4646
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46008
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 46008
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License Number State | MA
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