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General NPI Number Information
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NPI Number | 1689892077
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF NOBLE HOSPITAL
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 115 W SILVER ST
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City | WESTFIELD
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State | MA
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Zip | 01085-3628
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Country | US
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Telephone | 413-568-2811
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Fax | 413-572-5016
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Provider Business Mailing Address
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Address Line | 115 W SILVER ST
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City | WESTFIELD
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State | MA
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Zip | 01085-3628
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Country | US
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Telephone | 413-568-2811
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Fax | 413-572-5016
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Authorized Official
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Title or Position | CFO
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Name | MR. JOHN C SHAVER
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Credential |
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Telephone | 413-568-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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License Number State |
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