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General NPI Number Information
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NPI Number | 1912195678
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Entity Type | Individual
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Provider Name | PAULINE CHEN HALSEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 1400 VFW PKWY
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City | WEST ROXBURY
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State | MA
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Zip | 02132
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Country | US
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Telephone | 978-373-6419
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Fax |
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Provider Business Mailing Address
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Address Line | 91 GREEN ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-2201
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Country | US
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Telephone | 978-943-9516
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | GFE84623
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | GFE84623
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | GFE84623
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | GFE84623
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License Number State | CA
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