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General NPI Number Information
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NPI Number | 1043400492
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Entity Type | Individual
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Provider Name | ELIZABETH PECOY-WHITCOMB P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3400 MAIN ST STE A
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1113
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Country | US
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Telephone | 413-794-9560
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Fax | 413-794-5884
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Provider Business Mailing Address
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Address Line | 280 CHESTNUT ST FL 2
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City | SPRINGFIELD
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State | MA
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Zip | 01199-1001
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Country | US
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Telephone | 413-794-5700
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA4891
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License Number State | MA
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