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General NPI Number Information
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NPI Number | 1750639795
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Entity Type | Organization
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Legal Business Name | GREENFIELD WOMEN'S HEALTH CENTER LLC
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 5 PARK STREET
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City | GREENFIELD
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State | MA
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Zip | 01301
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Country | US
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Telephone | 413-773-5483
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Fax | 413-773-5489
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Provider Business Mailing Address
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Address Line | 5 PARK STREET
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City | GREENFIELD
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State | MA
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Zip | 01301
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Country | US
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Telephone | 413-773-5483
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Fax | 413-773-5489
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Authorized Official
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Title or Position | AGENT OF LLC
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Name | WILLIAM EDWARD CALLAHAN SR.
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Credential | M.D.
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Telephone | 413-773-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 28664
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License Number State | MA
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