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General NPI Number Information
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NPI Number | 1851588388
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Entity Type | Organization
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Legal Business Name | HOLYOKE MEDICAL CENTER, INC
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 10 HOSPITAL DR SUITE 203A
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-540-5022
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL DR SUITE 203A
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-540-5022
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KEVIN NEILL
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Credential | MBA PT
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Telephone | 413-540-5021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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