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General NPI Number Information
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NPI Number | 1730385493
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Entity Type | Organization
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Legal Business Name | BOSTON HEMATOLOGY & ONCOLOGY
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 125 PARKER HILL AVE SUITE 380
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City | ROXBURY CROSSING
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State | MA
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Zip | 02120-2847
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Country | US
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Telephone | 617-277-9696
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Fax | 617-277-9229
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Provider Business Mailing Address
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Address Line | 125 PARKER HILL AVE SUITE 380
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City | ROXBURY CROSSING
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State | MA
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Zip | 02120-2847
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Country | US
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Telephone | 617-277-9696
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Fax | 617-277-9229
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | EDWARD C DOW
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Credential | MD
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Telephone | 617-277-9696
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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 | 59945
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License Number State | MA
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