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General NPI Number Information
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NPI Number | 1881810703
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Entity Type | Organization
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Legal Business Name | HARVARD PARTNERS CENTER FOR GENETICS AND GENOMICS
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 LANDSDOWNE STREET
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City | CAMBRIDGE
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State | MA
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Zip | 02139
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Country | US
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Telephone | 617-768-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 77 AVENUE LOUIS PASTEUR NRB-250
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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 | 617-525-4482
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RAJU KUCHERLAPATI
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Credential | PH.D.
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Telephone | 617-525-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | MA
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