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General NPI Number Information
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NPI Number | 1629193495
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Entity Type | Individual
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Provider Name | FRISSO A POTTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1180 BEACON ST SUITE 2D
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City | BROOKLINE
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State | MA
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Zip | 02446-3885
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Country | US
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Telephone | 617-232-6900
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Fax | 617-739-7111
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Provider Business Mailing Address
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Address Line | 300 COMMERCIAL ST UNIT 208
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City | BOSTON
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State | MA
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Zip | 02109-1185
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Country | US
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Telephone | 617-742-4094
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Fax | 617-739-7111
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 37190
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 37190
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License Number State | MA
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