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General NPI Number Information
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NPI Number | 1942654850
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND CONSULTANTS IN GASTROENTEROLOGY AND HEPATOLOGY PC
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Dates
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Enumeration Date | 04/17/2016
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Last Update Date | 04/17/2016
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Provider Practice Location Address
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Address Line | 43 LINCOLN ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8205
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Country | US
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Telephone | 508-872-0508
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Fax | 508-872-0588
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Provider Business Mailing Address
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Address Line | 43 LINCOLN ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8205
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Country | US
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Telephone | 508-872-0508
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Fax | 508-872-0588
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PEGGY BOWER
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Credential |
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Telephone | 508-872-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 230294
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License Number State | MA
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