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General NPI Number Information
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NPI Number | 1699017897
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES OF NEW ENGLAND
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 100 HOSPITAL RD SUITE 3A
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City | LEOMINSTER
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State | MA
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Zip | 01453-2253
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Country | US
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Telephone | 978-537-9305
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Fax | 978-537-9307
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL RD SUITE 3A
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City | LEOMINSTER
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State | MA
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Zip | 01453-2253
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Country | US
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Telephone | 978-537-9305
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Fax | 978-537-9307
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Authorized Official
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Title or Position | PRESIDENT/CARDIOLOGIST
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Name | DR. PETER B WILSON
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Credential | M.D.
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Telephone | 978-537-9305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MA
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