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General NPI Number Information
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NPI Number | 1750386298
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Entity Type | Organization
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Legal Business Name | PIONEER VALLEY EYE ASSOCIATES, PC
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 HOSPITAL DR STE 201
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City | HOLYOKE
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State | MA
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Zip | 01040-6614
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Country | US
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Telephone | 413-536-8670
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Fax | 413-534-0597
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Provider Business Mailing Address
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Address Line | 2 HOSPITAL DR STE 201
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City | HOLYOKE
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State | MA
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Zip | 01040-6614
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Country | US
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Telephone | 413-536-8670
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Fax | 413-534-0597
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. KATHY MCAUSLAN
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Credential | CPC, OCS
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Telephone | 413-536-8670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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