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General NPI Number Information
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NPI Number | 1649316969
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Entity Type | Organization
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Legal Business Name | PAUL P. HARASIMOWICZ,III,M.D.,P.C.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 190 GROTON RD SUITE 160
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City | AYER
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State | MA
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Zip | 01432-1124
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Country | US
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Telephone | 978-772-9846
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Fax | 978-772-1180
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Provider Business Mailing Address
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Address Line | 190 GROTON RD SUITE 160
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City | AYER
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State | MA
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Zip | 01432-1124
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Country | US
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Telephone | 978-772-9846
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Fax | 978-772-1180
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL P. HARASIMOWICZ III
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Credential | M.D.
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Telephone | 978-772-9846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 73797
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License Number State | MA
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