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General NPI Number Information
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NPI Number | 1336609593
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Entity Type | Individual
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Provider Name | MADISON DARA DECMAN DO
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 3455 MAIN ST STE C
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1187
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Country | US
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Telephone | 413-794-8484
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Fax | 413-794-8477
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Provider Business Mailing Address
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Address Line | 354 BIRNIE AVE STE 202
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1109
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Country | US
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Telephone | 413-794-4744
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Fax | 413-787-5273
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1014972
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License Number State | MA
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