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General NPI Number Information
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NPI Number | 1578002366
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Entity Type | Organization
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Legal Business Name | BOSTON ORTHOPAEDIC PC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 111 EVERETT AVE SUITE 1A
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City | CHELSEA
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State | MA
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Zip | 02150-2385
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Country | US
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Telephone | 781-235-3992
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Fax | 781-235-3996
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Provider Business Mailing Address
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Address Line | 111 EVERETT AVE SUITE 1A
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City | CHELSEA
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State | MA
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Zip | 02150-2385
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Country | US
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Telephone | 781-235-3992
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Fax | 781-235-3996
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. WILLIAM MULROY
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Credential | M.D.
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Telephone | 781-235-3992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | MA
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