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General NPI Number Information
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NPI Number | 1457518193
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Entity Type | Organization
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Legal Business Name | STEPHEN L PAYNE, MD, PC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 227 ADAMS ROAD
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City | WILLIAMSTOWN
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State | MA
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Zip | 01267-2932
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Country | US
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Telephone | 413-458-0112
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Fax | 413-458-5114
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Provider Business Mailing Address
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Address Line | 227 ADAMS ROAD
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City | WILLIAMSTOWN
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State | MA
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Zip | 01267-2932
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Country | US
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Telephone | 413-458-0112
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Fax | 413-458-5114
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN L PAYNE
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Credential | M.D
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Telephone | 413-458-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 58444
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License Number State | MA
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