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General NPI Number Information
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NPI Number | 1528265865
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Entity Type | Organization
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Legal Business Name | DOCTORS COATES AND RIEUR PC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 1693 BEACON ST SUITE A
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City | BROOKLINE
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State | MA
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Zip | 02445-4494
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Country | US
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Telephone | 617-731-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 1691 BEACON ST SUITE 103
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City | BROOKLINE
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State | MA
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Zip | 02445-4400
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Country | US
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Telephone | 617-731-9234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARLAN RIEUR
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Credential |
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Telephone | 617-731-9155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | MA953
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License Number State | MA
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