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General NPI Number Information
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NPI Number | 1811929342
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Entity Type | Individual
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Provider Name | THEODORE K MLAPAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 575 BEECH STREET HOLYOKE MEDICAL CENTER
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-534-2500
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Fax | 413-540-5055
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Provider Business Mailing Address
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Address Line | 289 TANGLEWOOD DR APT# 5
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City | LONGMEADOW
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State | MA
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Zip | 01106-1652
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Country | US
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Telephone | 413-205-9702
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Fax | 413-540-5055
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 229246
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License Number State | MA
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