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General NPI Number Information
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NPI Number | 1588790174
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Entity Type | Individual
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Provider Name | PAULA J HIRSCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MILLENNIUM PHARMACEUTICALS INC. 40 LANDSDOWNE STREET
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City | CAMBRIDGE
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State | MA
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Zip | 02472
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Country | US
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Telephone | 617-444-1631
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ORCHARD ST
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City | WATERTOWN
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State | MA
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Zip | 02472-3443
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Country | US
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Telephone | 617-444-1631
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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 | 52484
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License Number State | MA
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