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General NPI Number Information
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NPI Number | 1437270055
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Entity Type | Organization
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Legal Business Name | HOLYOKE RADIOLOGISTS INC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 575 BEECH ST
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City | HOLYOKE
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State | MA
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Zip | 01040-2223
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Country | US
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Telephone | 413-534-2523
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Fax |
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Provider Business Mailing Address
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Address Line | 291 MOODY ST
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City | LUDLOW
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State | MA
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Zip | 01056-1246
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Country | US
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Telephone | 413-589-0195
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MRINAL S MALI
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Credential | M.D.
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Telephone | 413-589-0195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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