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General NPI Number Information
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NPI Number | 1992496301
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Entity Type | Organization
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Legal Business Name | MASS LUNG & CRITICAL CARE, PLLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 157 UNION ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1228
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Country | US
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Telephone | 508-942-7935
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Fax |
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Provider Business Mailing Address
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Address Line | 11 APEX DR SUITE 300A #270
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City | MARLBOROUGH
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State | MA
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Zip | 01752
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Country | US
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Telephone | 508-942-7935
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | COREY SALTIN
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Credential | DO
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Telephone | 508-942-7935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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