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General NPI Number Information
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NPI Number | 1235389883
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Entity Type | Organization
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Legal Business Name | NORTHAMPTON RADIATION ONCOLOGY, LLC
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 30 LOCUST STREET, COOLEY DICKINSON HOSPITAL NORTHAMPTON RADIATION ONCOLOGY, LLC
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-582-2107
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Fax | 413-582-2963
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Provider Business Mailing Address
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Address Line | 30 LOCUST STREET, COOLEY DICKINSON HOSPITAL NORTHAMPTON RADIATION ONCOLOGY, LLC
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-582-2107
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Fax | 413-582-2963
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Authorized Official
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Title or Position | OWNER
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Name | LINDA E. BORNSTEIN
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Credential | MD
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Telephone | 413-582-2107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 77372
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License Number State | MA
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