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General NPI Number Information
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NPI Number | 1750342523
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Entity Type | Individual
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Provider Name | LOUIS V. PACILIO MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 LOCUST ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2052
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Country | US
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Telephone | 413-582-2493
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Fax | 413-582-2518
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Provider Business Mailing Address
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Address Line | 291 MOODY ST
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City | LUDLOW
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State | MA
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Zip | 01056-1246
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Country | US
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Telephone | 800-688-6663
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Fax | 413-589-7554
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 50806
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License Number State | MA
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