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General NPI Number Information
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NPI Number | 1821141649
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Entity Type | Organization
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Legal Business Name | MASSACHUSETTS GENERAL HOSPITAL
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 55 FRUIT ST SUITE 805 WANG
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone | 617-726-6124
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Fax | 617-726-2777
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Provider Business Mailing Address
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Address Line | 55 FRUIT ST CPZ-175, SUITE 300
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone | 617-724-6352
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Fax | 617-643-3939
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Authorized Official
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Title or Position | DIRECTOR, STROKE SERVICE
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Name | KAREN FURIE
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Credential | MD
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Telephone | 617-726-2941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 176684
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License Number State | MA
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