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General NPI Number Information
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NPI Number | 1528252962
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Entity Type | Organization
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Legal Business Name | HELENA H KELLIHER MD
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 52 BOYDEN RD STE 206
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City | HOLDEN
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State | MA
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Zip | 01520-2592
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Country | US
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Telephone | 508-829-4461
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Fax | 508-829-6244
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Provider Business Mailing Address
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Address Line | 52 BOYDEN RD STE 206
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City | HOLDEN
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State | MA
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Zip | 01520-2592
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Country | US
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Telephone | 508-829-4461
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Fax | 508-829-6244
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Authorized Official
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Title or Position | OWNER
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Name | HELENA H KELLIHER
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Credential | M.D.
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Telephone | 508-829-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 50905
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License Number State | MA
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