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General NPI Number Information
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NPI Number | 1992871602
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Entity Type | Organization
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Legal Business Name | COUNSELING & GYNECOLOGY GROUP P C
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 123 DWIGHT RD STE 204
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City | LONGMEADOW
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State | MA
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Zip | 01106-1748
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Country | US
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Telephone | 413-374-9287
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Fax | 413-707-0018
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Provider Business Mailing Address
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Address Line | 123 DWIGHT RD STE 204
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City | LONGMEADOW
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State | MA
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Zip | 01106-1748
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Country | US
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Telephone | 413-374-9287
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Fax | 413-707-0018
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MAX CHOROWSKI
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Credential | MD
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Telephone | 413-567-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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