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General NPI Number Information
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NPI Number | 1962816090
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Entity Type | Individual
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Provider Name | ELEANOR H EMERY MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 200 MEDICAL PLAZA SUITE 420 120 365
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-794-1276
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Fax |
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Provider Business Mailing Address
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Address Line | MGH REVERE 385 BROADWAY
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City | REVERE
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State | MA
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Zip | 02151
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Country | US
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Telephone | 781-485-1000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L-259557
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A147594
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License Number State | CA
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