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NPI 1750910154

NPI 1750910154 : DAVID J OH DO : BURLINGTON, MA

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General NPI Number Information
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    NPI Number           |    1750910154
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID J OH DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/07/2020
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    41 MALL RD 
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    City                 |    BURLINGTON
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    State                |    MA
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    Zip                  |    01805-1552
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    Country              |    US
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    Telephone            |    781-744-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    75 FRANCIS ST 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02115-6106
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    Country              |    US
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    Telephone            |    617-732-5500
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    Fax                  |    
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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        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    284769
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    284769
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    License Number State |    MA
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