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General NPI Number Information
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NPI Number | 1366891475
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Entity Type | Organization
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Legal Business Name | NRRON LLC
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 100 HAYNES ST
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City | MANCHESTER
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State | CT
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Zip | 06040-4113
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Country | US
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Telephone | 860-533-4000
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Fax | 860-272-3036
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Provider Business Mailing Address
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Address Line | PO BOX 4470
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City | SPRINGFIELD
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State | MA
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Zip | 01101-4470
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Country | US
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Telephone | 860-533-4000
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Fax | 860-272-3036
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DAN DELGALLO
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Credential |
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Telephone | 860-646-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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