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General NPI Number Information
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NPI Number | 1669679148
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Entity Type | Individual
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Provider Name | OTILIA BRAESCU M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 228 BILLERICA RD OB/GYN
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City | CHELMSFORD
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State | MA
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Zip | 01824-3604
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Country | US
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Telephone | 978-250-6200
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Fax | 978-244-6665
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Provider Business Mailing Address
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Address Line | 147 MILK ST PROVIDER ENROLLMENT - 9TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02109-4806
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Country | US
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Telephone | 617-421-6540
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 231808
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License Number State | MA
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