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General NPI Number Information
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NPI Number | 1669434502
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Entity Type | Organization
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Legal Business Name | VALLEY NEUROLOGICAL SURGERY PC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 300 STAFFORD ST SUITE 264
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City | SPRINGFIELD
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State | MA
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Zip | 01104-3581
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Country | US
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Telephone | 413-827-8800
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Fax | 413-827-8811
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | LUDLOW
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State | MA
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Zip | 01056-0789
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Country | US
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Telephone | 413-509-1000
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Fax | 413-509-1003
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS S KAYE
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Credential | MD
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Telephone | 413-827-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 71211
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License Number State | MA
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