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General NPI Number Information
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NPI Number | 1174843155
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Entity Type | Organization
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Legal Business Name | ELIZABETH A. MCLARNEY, M.D., P.C.
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 17 BELMONT AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-7601
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Country | US
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Telephone | 802-254-7787
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 359
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01090-0359
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH A MCLARNEY
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Credential | M.D.
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Telephone | 802-254-7787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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