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General NPI Number Information
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NPI Number | 1780054742
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY TMS , LLC
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Dates
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Enumeration Date | 10/03/2015
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Last Update Date | 10/03/2015
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Provider Practice Location Address
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Address Line | 185 WEST AVE SUITE 102
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City | LUDLOW
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State | MA
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Zip | 01056-1700
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Country | US
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Telephone | 413-241-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 185 WEST AVE SUITE 102
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City | LUDLOW
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State | MA
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Zip | 01056-1700
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Country | US
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Telephone | 413-241-0449
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. USMAN QAYYUM
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Credential | MD
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Telephone | 413-204-7718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 50517
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License Number State | MA
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