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General NPI Number Information
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NPI Number | 1750495974
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Entity Type | Organization
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Legal Business Name | BEDFORD-LEXINGTON INTERNAL MEDICINE, PC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 450 BEDFORD ST
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City | LEXINGTON
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State | MA
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Zip | 02420-1535
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Country | US
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Telephone | 781-274-6274
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Fax | 781-862-1472
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Provider Business Mailing Address
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Address Line | 450 BEDFORD ST
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City | LEXINGTON
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State | MA
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Zip | 02420-1535
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Country | US
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Telephone | 781-274-6274
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Fax | 781-862-1472
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMAN S WEINBERG
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Credential | M.D.
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Telephone | 781-274-6274
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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 |
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License Number State |
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