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General NPI Number Information
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NPI Number | 1841235918
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Entity Type | Organization
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Legal Business Name | MARY PAT ROY, MD, LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 766 N KING ST #1
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City | NORTHAMPTON
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State | MA
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Zip | 01060-1142
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Country | US
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Telephone | 413-586-0611
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Fax | 413-586-4441
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Provider Business Mailing Address
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Address Line | 766 N KING ST #1
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City | NORTHAMPTON
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State | MA
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Zip | 01060-1142
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Country | US
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Telephone | 413-586-0611
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Fax | 413-586-4441
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Authorized Official
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Title or Position | PRACTICE MANAGER/OWNER
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Name | MARY PATRICIA ROY
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Credential | MD
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Telephone | 413-586-0611
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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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