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General NPI Number Information
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NPI Number | 1902972599
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Entity Type | Individual
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Provider Name | DANIEL N BIZER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 3 CABOT PL SUITE 1
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City | STOUGHTON
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State | MA
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Zip | 02072-4612
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Country | US
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Telephone | 781-436-8770
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Fax | 781-436-8772
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Provider Business Mailing Address
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Address Line | 32 BRASSIE WAY
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City | NORTH READING
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State | MA
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Zip | 01864-3435
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Country | US
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Telephone | 978-664-0012
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Fax | 978-664-1575
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 10482
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License Number State | MA
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