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General NPI Number Information
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NPI Number | 1437379302
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Entity Type | Organization
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Legal Business Name | PIONEER VALLEY PATHOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/18/2010
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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 | 413-534-2583
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Fax |
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Provider Business Mailing 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 | 413-534-2583
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Fax |
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Authorized Official
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Title or Position | CHIEF OF PATHOLOGY
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Name | DR. THOMAS GOULD
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Credential | M.D.
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Telephone | 413-534-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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