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General NPI Number Information
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NPI Number | 1700191814
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Entity Type | Organization
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Legal Business Name | CHILDRENS HOSPITAL BOSTON
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 300 LONGWOOD AVE
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City | BOSTON
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State | MA
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Zip | 02115-5724
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Country | US
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Telephone | 617-355-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 591 VFW PKWY HANCOCK VILLAGE ,298 INDEPENDENCE DRIVE,CHESTNUT HILL
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT PROFESSOR OF NEUROLOGY
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Name | DR. JANET SOUL
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Credential | MD,CM, FRCPC
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Telephone | 617-355-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State |
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