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General NPI Number Information
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NPI Number | 1326305368
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Entity Type | Organization
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Legal Business Name | MASS LUNG & ALLERGY, P.C.
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 100 ERDMAN WAY SUITE 2S
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City | LEOMINSTER
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State | MA
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Zip | 01453-1804
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Country | US
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Telephone | 978-728-4641
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Fax | 978-728-1382
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Provider Business Mailing Address
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Address Line | 50 MEMORIAL DRIVE SUITE 113
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City | LEOMINSTER
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State | MA
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Zip | 01453
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Country | US
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Telephone | 978-466-2692
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Fax | 978-466-4754
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Authorized Official
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Title or Position | OWNER-PHYSICIAN
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Name | PAYAM AGHASSI
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Credential | M.D.
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Telephone | 978-728-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State | MA
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