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General NPI Number Information
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NPI Number | 1891027033
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HOSPITAL FOR CHILDREN
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 30 WARREN ST
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City | BRIGHTON
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State | MA
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Zip | 02135-3602
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Country | US
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Telephone | 617-254-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 380 RIVERWAY APT 4
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City | BOSTON
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State | MA
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Zip | 02115-6418
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Country | US
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Telephone | 617-596-7949
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. ALANNA TEATOM BURKE
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Credential | D.O.
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Telephone | 617-254-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | 247673
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License Number State | MA
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