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General NPI Number Information
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NPI Number | 1811063688
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF NEW ENGLAND
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Dates
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Enumeration Date | 11/25/2006
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 95 CHAPEL ST SUITE 2-D
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City | NORWOOD
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State | MA
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Zip | 02062-3155
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Country | US
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Telephone | 781-769-7070
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Fax | 781-769-7085
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Provider Business Mailing Address
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Address Line | 95 CHAPEL ST SUITE 2-D
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City | NORWOOD
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State | MA
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Zip | 02062-3155
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Country | US
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Telephone | 781-769-7070
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Fax | 781-769-7085
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDULFATAH ELSHAAR
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Credential | MD
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Telephone | 781-769-7070
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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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