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General NPI Number Information
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NPI Number | 1649375304
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Entity Type | Organization
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Legal Business Name | NORFOLK COUNTY CARDIOLOGY ASSOC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 12/26/2008
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Provider Practice Location Address
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Address Line | 844 FRANKLIN STREET #4
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City | WRENTHAM
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State | MA
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Zip | 02093
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Country | US
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Telephone | 508-384-2500
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Fax | 508-384-9410
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Provider Business Mailing Address
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Address Line | 844 FRANKLIN STREET #4
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City | WRENTHAM
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State | MA
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Zip | 02093
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Country | US
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Telephone | 508-384-2500
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Fax | 508-384-9410
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Authorized Official
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Title or Position | TREASURER
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Name | WILLIAM D. DILLON
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Credential | MD
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Telephone | 508-384-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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