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General NPI Number Information
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NPI Number | 1821337627
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND ENDOCRINE AND THYROID CENTER, PC
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 299 CAREW ST SUITE 323
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-540-0150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10417
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City | HOLYOKE
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State | MA
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Zip | 01041-2017
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Country | US
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Telephone | 413-887-6103
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | CANDICE DONNELLY
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Credential |
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Telephone | 413-887-6103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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