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General NPI Number Information
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NPI Number | 1174460703
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND NEUROVASCULAR ASSOCIATES LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 123 SUMMER ST
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City | WORCESTER
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State | MA
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Zip | 01608-1216
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Country | US
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Telephone | 508-363-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 82 WENDELL AVE STE 100
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City | PITTSFIELD
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State | MA
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Zip | 01201-7066
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Country | US
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Telephone | 617-546-1976
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. AJIT S PURI
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Credential | MD
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Telephone | 617-546-1976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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