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NPI 1568424026

NPI 1568424026 : TIMOTHY C. TASH MD : NORTHAMPTON, MA

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General NPI Number Information
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    NPI Number           |    1568424026
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    Entity Type          |    Individual 
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    Provider Name        |    TIMOTHY C. TASH MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2006
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    30 LOCUST ST 
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-2052
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    Country              |    US
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    Telephone            |    800-688-6663
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    Fax                  |    413-582-2949
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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            |    800-688-6663
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    Fax                  |    413-589-7554
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    203886
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    25IA12492500
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    License Number State |    NJ
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