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General NPI Number Information
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NPI Number | 1013080043
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Entity Type | Organization
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Legal Business Name | SOUTH HADLEY BOARD OF HEALTH
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 116 MAIN ST SUITE 102
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2833
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Country | US
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Telephone | 413-538-5013
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Fax | 413-538-5012
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Provider Business Mailing Address
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Address Line | 116 MAIN ST SUITE 102
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2833
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Country | US
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Telephone | 413-538-5013
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Fax | 413-538-5012
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHARON HART
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Credential |
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Telephone | 413-538-5013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 42642
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License Number State | MA
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