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General NPI Number Information
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NPI Number | 1164540373
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN SURGERY, INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 190 NONOTUCK ST SUITE 101
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City | FLORENCE
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State | MA
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Zip | 01062-1911
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Country | US
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Telephone | 413-584-2599
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Fax | 413-584-9478
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Provider Business Mailing Address
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Address Line | 190 NONOTUCK ST SUITE 101
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City | FLORENCE
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State | MA
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Zip | 01062-1911
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Country | US
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Telephone | 413-584-2599
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Fax | 413-584-9478
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Authorized Official
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Title or Position | OWNER
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Name | ALVAH V HINCKLEY III
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Credential | M.D.
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Telephone | 413-584-2599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MA
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