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General NPI Number Information
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NPI Number | 1306750377
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Entity Type | Organization
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Legal Business Name | RENAL & TRANSPLANT ASSOC OF THE NORTHEAST PC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 3550 MAIN ST STE 204
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1078
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Country | US
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Telephone | 413-867-2500
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Fax | 413-867-2555
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Provider Business Mailing Address
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Address Line | 3550 MAIN ST STE 204
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1078
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Country | US
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Telephone | 413-867-2500
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Fax | 413-867-2555
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | ROBERT SHAWN KILLIN
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Credential |
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Telephone | 413-867-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State | NULL
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