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General NPI Number Information
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NPI Number | 1386520450
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Entity Type | Organization
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Legal Business Name | THE COMMONWEALTH OF MASSACHUSETTS
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | WESTER MASSACHUSETTS REGIONAL WOMEN'S CORRECTIONAL CEN 701 CENTER STEET
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City | CHICOPEE
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State | MA
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Zip | 01013
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Country | US
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Telephone | 413-730-6921
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Fax | 413-730-6997
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Provider Business Mailing Address
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Address Line | HAMPDEN COUNTY SHERIFFS OFICE 627 RANDALL RD
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City | LUDLOW
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State | MA
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Zip | 01056
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Country | US
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Telephone | 413-858-0343
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MICHAEL COLBERT
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Credential |
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Telephone | 413-858-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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