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General NPI Number Information
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NPI Number | 1194761692
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Entity Type | Organization
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Legal Business Name | NORTHAMPTON RADIOLOGIC ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 30 LOCUST ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2052
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Country | US
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Telephone | 413-582-2101
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Fax | 413-582-2949
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Provider Business Mailing Address
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Address Line | 291 MOODY ST
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City | LUDLOW
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State | MA
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Zip | 01056-1246
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Country | US
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Telephone | 800-688-6666
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Fax | 413-589-7554
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH POLINO
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Credential | MD
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Telephone | 413-695-8367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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