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General NPI Number Information
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NPI Number | 1699758896
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Entity Type | Individual
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Provider Name | PAUL C MUSTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 51 PERFORMANCE DR SUITE 110
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City | WEYMOUTH
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State | MA
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Zip | 02189-3141
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Country | US
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Telephone | 617-769-1162
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Fax | 617-770-9491
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Provider Business Mailing Address
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Address Line | 10 WILLARD ST
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City | QUINCY
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State | MA
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Zip | 02169-1281
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Country | US
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Telephone | 617-769-1162
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Fax | 617-770-9491
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 50948
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License Number State | MA
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