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General NPI Number Information
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NPI Number | 1194193193
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Entity Type | Organization
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Legal Business Name | PARENT CO INC
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 200 N MAIN ST SUITE 5
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2392
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Country | US
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Telephone | 413-525-6003
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Fax | 413-525-9009
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Provider Business Mailing Address
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Address Line | 200 N MAIN ST SUITE 5
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2392
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Country | US
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Telephone | 413-525-6003
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Fax | 413-525-9009
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHRISTOPHER PARENT
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Credential | M.ED.
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Telephone | 413-525-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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