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General NPI Number Information
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NPI Number | 1528034956
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Entity Type | Individual
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Provider Name | JUDITH ANN HARAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 157 UNION ST MARLBOROUGH HOSPITAL
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1228
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Country | US
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Telephone | 508-486-5582
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Fax | 508-229-1206
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Provider Business Mailing Address
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Address Line | 72 JAQUES AVE CHL
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City | WORCESTER
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State | MA
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Zip | 01610-2476
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Country | US
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Telephone | 508-860-1013
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 52462
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License Number State | MA
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