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General NPI Number Information
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NPI Number | 1639102171
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Entity Type | Organization
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Legal Business Name | EASTERN RADIOLOGICAL ASSOCIATES PC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 2900 12TH AVE N 2E
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City | BILLINGS
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State | MT
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Zip | 59101-7506
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Country | US
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Telephone | 406-237-5862
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Fax | 406-238-6068
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Provider Business Mailing Address
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Address Line | 2527 CRANBERRY HWY
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City | WAREHAM
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State | MA
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Zip | 02571-1046
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Country | US
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Telephone | 800-841-5200
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Fax | 508-273-1241
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. LINDA JEWELL MASIN
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Credential | CHC
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Telephone | 406-237-5491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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Taxonomy #8
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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Taxonomy #9
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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