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General NPI Number Information
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NPI Number | 1750343208
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Entity Type | Organization
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Legal Business Name | BURLINGTON OB-GYN ASSOC INC
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 101 CAMBRIDGE STREET
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City | BURLINGTON
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State | MA
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Zip | 01803
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Country | US
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Telephone | 781-272-4667
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Fax | 781-270-4196
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Provider Business Mailing Address
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Address Line | 101 CAMBRIDGE STREET
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City | BURLINGTON
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State | MA
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Zip | 01803
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Country | US
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Telephone | 781-272-4667
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Fax | 781-270-4196
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Authorized Official
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Title or Position | OWNER
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Name | PETER ROTOLO
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Credential | MD
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Telephone | 781-272-4667
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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 |
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License Number State |
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