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General NPI Number Information
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NPI Number | 1508848722
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Entity Type | Individual
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Provider Name | AGNES RHEE AHN DO
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Gender | Female
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 886 WASHINGTON ST STE 2
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City | NORWOOD
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State | MA
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Zip | 02062-3445
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Country | US
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Telephone | 781-551-3535
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Fax | 781-255-9994
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Provider Business Mailing Address
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Address Line | 77 WARREN ST 5TH FLR
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City | BRIGHTON
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State | MA
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Zip | 02135-3601
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Country | US
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Telephone | 617-561-5559
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Fax | 617-562-5488
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 74680
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License Number State | MA
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