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General NPI Number Information
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NPI Number | 1841697687
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Entity Type | Individual
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Provider Name | ELAINE B PANITZ MD MPH
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 360 BRUSH HILL ROAD
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City | SHEFFIELD
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State | MA
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Zip | 01257
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Country | US
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Telephone | 413-229-3390
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Fax | 413-229-3391
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | SHEFFIELD
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State | MA
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Zip | 01257-0936
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Country | US
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Telephone | 413-229-3390
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Fax | 413-229-3391
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA02881900
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License Number State | NJ
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