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General NPI Number Information
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NPI Number | 1740172618
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Entity Type | Organization
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Legal Business Name | SHIELDS HEALTH AT UMASS MEMORIAL HEALTH - MILFORD REGIONAL MEDICAL
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 20 PROSPECT ST
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City | MILFORD
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State | MA
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Zip | 01757-3042
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Country | US
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Telephone | 866-258-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 700 CONGRESS ST STE 204
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City | QUINCY
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State | MA
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Zip | 02169-0928
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Country | US
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Telephone | 866-258-4738
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER ENROLLMENT & C
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Name | PAMELA HORSFALL
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Credential |
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Telephone | 866-258-4738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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