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General NPI Number Information
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NPI Number | 1881694362
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Entity Type | Individual
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Provider Name | MARY E NORRIS MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 2 HOSPITAL DR SUITE 203
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City | HOLYOKE
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State | MA
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Zip | 01040-6632
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Country | US
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Telephone | 413-540-5048
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Fax | 413-540-5049
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Provider Business Mailing Address
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Address Line | 2 HOSPITAL DR SUITE 203
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City | HOLYOKE
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State | MA
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Zip | 01040-6632
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Country | US
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Telephone | 413-540-5048
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Fax | 413-540-5049
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 18549
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD00045945
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License Number State | WA
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