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General NPI Number Information
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NPI Number | 1770544256
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Entity Type | Individual
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Provider Name | PAUL G RICHARDSON MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 44 BINNEY STREET DANA FARBER CANCER INSTITUTE
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-632-2104
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Fax | 617-632-6624
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Provider Business Mailing Address
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Address Line | 44 BINNEY STREET D1B30 DANA FARBER CANCER INSTITUTE
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-632-2104
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Fax | 617-632-6624
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 78553
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License Number State | MA
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