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General NPI Number Information
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NPI Number | 1891840138
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Entity Type | Organization
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Legal Business Name | MD MEDICAL WRITING, LLC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 15 PALOMBA DR SUITE 11
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City | ENFIELD
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State | CT
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Zip | 06082-3853
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Country | US
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Telephone | 860-265-2655
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Fax | 860-265-2699
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Provider Business Mailing Address
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Address Line | 15 PALOMBA DR SUITE 11
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City | ENFIELD
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State | CT
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Zip | 06082-3853
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Country | US
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Telephone | 860-265-2655
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Fax | 860-265-2699
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN FAYE BURROUGHS
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Credential | MD
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Telephone | 860-265-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 030948
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License Number State | CT
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