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General NPI Number Information
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NPI Number | 1265400402
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Entity Type | Organization
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Legal Business Name | HOPEDALE CARDIOLOGY, LLP
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 236 MILFORD ST
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City | UPTON
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State | MA
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Zip | 01568-1309
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Country | US
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Telephone | 508-473-1015
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Fax | 508-634-0261
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Provider Business Mailing Address
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Address Line | 236 MILFORD ST
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City | UPTON
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State | MA
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Zip | 01568-1309
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Country | US
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Telephone | 508-473-1015
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Fax | 508-634-0261
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Authorized Official
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Title or Position | PARTNER
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Name | DR. WILLIAM J SHINE
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Credential | MD
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Telephone | 508-473-1015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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