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General NPI Number Information
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NPI Number | 1760463954
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE TURNOCK MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 332 HANOVER ST NORTH END COMMUNITY HEALTH CENTER NHC
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City | BOSTON
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State | MA
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Zip | 02113-1901
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Country | US
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Telephone | 617-643-8000
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Fax | 617-643-8122
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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 | 617-643-8041
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 80386
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License Number State | MA
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