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General NPI Number Information
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NPI Number | 1932455193
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Entity Type | Organization
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Legal Business Name | NP HOUSE/CLINIC CALLS, LLC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 31 ERIC DR
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City | PITTSFIELD
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State | MA
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Zip | 01201-8324
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Country | US
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Telephone | 413-447-9104
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Fax | 413-447-9699
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Provider Business Mailing Address
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Address Line | 31 ERIC DR
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City | PITTSFIELD
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State | MA
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Zip | 01201-8324
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Country | US
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Telephone | 413-447-9104
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Fax | 413-447-9699
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Authorized Official
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Title or Position | OWNER/FNP-BC
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Name | MS. DARLENE R PROCTORWENDLING
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Credential | FNP-BC
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Telephone | 413-281-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 233810
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License Number State | MA
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