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General NPI Number Information
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NPI Number | 1861597411
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Entity Type | Organization
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Legal Business Name | BAYSTATE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 380 PLAINFIELD ST
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1524
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Country | US
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Telephone | 413-794-9442
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Fax | 413-794-9443
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Provider Business Mailing Address
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Address Line | 380 PLAINFIELD ST
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1524
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Country | US
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Telephone | 413-794-9442
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Fax | 413-794-9443
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LAURIE MARTIN
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Credential |
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Telephone | 413-794-9442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | MA0045484
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License Number State | MA
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