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General NPI Number Information
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NPI Number | 1750372306
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Entity Type | Individual
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Provider Name | LISA B WEISSMANN MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 1493 CAMBRIDGE STREET CAMBRIDGE HEALTH ALLIANCE
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City | CAMBRIDGE
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State | MA
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Zip | 02139
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Country | US
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Telephone | 617-497-9646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
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City | CHARLESTOWN
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State | MA
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Zip | 02129-9142
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Country | US
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Telephone | 617-724-0287
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Fax | 617-726-2894
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54488
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 54488
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 54488
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License Number State | MA
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