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General NPI Number Information
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NPI Number | 1992816839
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN GASTROENTEROLOGICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/19/2010
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Provider Practice Location Address
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Address Line | 886 WASHINGTON ST
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City | NORWOOD
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State | MA
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Zip | 02062-3466
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Country | US
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Telephone | 781-769-4682
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Fax | 781-769-9272
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Provider Business Mailing Address
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Address Line | 886 WASHINGTON ST
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City | NORWOOD
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State | MA
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Zip | 02062-3466
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Country | US
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Telephone | 781-769-4682
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Fax | 781-769-9272
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH L PERROTTO JR.
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Credential | MD
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Telephone | 781-769-4682
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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