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General NPI Number Information
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NPI Number | 1194023044
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Entity Type | Organization
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Legal Business Name | HUNGRY HILL FAMILY PRACTICE
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 776 LIBERTY STREET HUNGRY HILL FAMILY PRACTICE
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-273-1638
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Fax | 413-273-1410
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Provider Business Mailing Address
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Address Line | 776 LIBERTY STREET HUNGRY HILL FAMILY PRACTICE
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-273-1638
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Fax | 413-273-1410
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Authorized Official
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Title or Position | APRN,F.N.P.,B.C.
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Name | MRS. JANE V HARPER
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Credential | APRN
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Telephone | 413-273-1638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 187756
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License Number State | MA
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