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General NPI Number Information
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NPI Number | 1518864735
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Entity Type | Organization
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Legal Business Name | MASS GENERAL BRIGHAM SPECIALTY CARE, INC.
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 60 FENWOOD RD
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City | BOSTON
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State | MA
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Zip | 02115-6128
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Country | US
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Telephone | 617-732-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 399 REVOLUTION DR STE 458
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City | SOMERVILLE
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State | MA
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Zip | 02145-1488
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PROVIDER ENROLLMENT
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Name | JOANNA HAZELL
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Credential |
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Telephone | 781-254-4865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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