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General NPI Number Information
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NPI Number | 1558979526
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Entity Type | Individual
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Provider Name | MICHELLE ANA FIGUEROA PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 819 WORCESTER ST STE 1
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City | SPRINGFIELD
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State | MA
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Zip | 01151-1056
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Country | US
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Telephone | 413-304-2501
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Fax | 413-789-0290
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Provider Business Mailing Address
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Address Line | 26 CHRISTOPHER TER
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-4523
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Country | US
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Telephone | 413-328-0344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA7534
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License Number State | MA
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