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General NPI Number Information
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NPI Number | 1659570380
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Entity Type | Individual
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Provider Name | KRISTEN M. HADDON DO
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 355 WAVERLY OAKS RD STE 125
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City | WALTHAM
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State | MA
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Zip | 02452-8481
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Country | US
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Telephone | 781-891-3706
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Fax | 781-891-3564
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Provider Business Mailing Address
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Address Line | 330 MT AUBURN ST PARSONS 2
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5597
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Country | US
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Telephone | 781-891-3706
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Fax | 781-891-3564
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 259015
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 259015
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License Number State | MA
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