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NPI 1588707939

NPI 1588707939 : ALISON S ROY MS, RD, LDN : SPRINGFIELD, MA

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General NPI Number Information
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    NPI Number           |    1588707939
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    Entity Type          |    Individual 
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    Provider Name        |    ALISON S ROY MS, RD, LDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3300 MAIN ST SUITE 2A
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01199-1002
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    Country              |    US
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    Telephone            |    413-794-7164
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    Fax                  |    413-794-7125
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Provider Business Mailing Address
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    Address Line         |    80 OLD STAGE RD 
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    City                 |    WESTFIELD
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    State                |    MA
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    Zip                  |    01085-5172
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    Country              |    US
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    Telephone            |    413-568-8546
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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