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General NPI Number Information
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NPI Number | 1952785156
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Entity Type | Organization
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Legal Business Name | EMERSON HOSPITAL
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 133 OLD ROAD TO 9 ACRE COR
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City | CONCORD
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State | MA
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Zip | 01742-4159
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Country | US
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Telephone | 978-287-3162
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Fax |
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Provider Business Mailing Address
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Address Line | 133 OLD ROAD TO 9 ACRE COR
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City | CONCORD
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State | MA
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Zip | 01742-4159
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHEIF OF ANESTHESIA
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Name | DR. JAMES STREET
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Credential | M.D
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Telephone | 978-287-3162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | MA
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