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General NPI Number Information
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NPI Number | 1790587814
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Entity Type | Organization
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Legal Business Name | CLEARVIEW DERMATOLOGY GREATER BOSTON
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 06/05/2025
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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 | 978-534-0582
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Fax | 978-534-6519
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL RD STE 2D
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City | LEOMINSTER
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State | MA
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Zip | 01453-2253
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Country | US
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Telephone | 978-962-3281
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Fax | 978-534-6519
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TERRI STARR
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Credential |
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Telephone | 978-962-3281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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