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NPI 1447972286

NPI 1447972286 : SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC : GARDNER, MA

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General NPI Number Information
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    NPI Number           |    1447972286
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC 
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Dates
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    Enumeration Date     |    09/19/2022
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    242 GREEN ST STE 1 
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    City                 |    GARDNER
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    State                |    MA
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    Zip                  |    01440-1336
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    Country              |    US
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    Telephone            |    866-258-4674
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    Fax                  |    800-253-7569
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Provider Business Mailing Address
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    Address Line         |    700 CONGRESS ST STE 204 
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    City                 |    QUINCY
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    State                |    MA
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    Zip                  |    02169-0928
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SENIOR DIRECTOR
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    Name                 |     KRISTEN  DELMORE 
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    Credential           |    
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    Telephone            |    617-376-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1200X
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    Taxonomy Name        |    Magnetic Resonance Imaging (MRI) Clinic/Center
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    License Number       |    
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    License Number State |    
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