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Individual
BARRY DIAMOND
Active
Individual
BARRY DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600630
—
MA
01
—
3116790
ATENA PROVIDER NUMBER
MA
01
—
464807
TUFTS ID #
MA
01
—
676911
CIGNA PROVIDER NUMBER
MA
01
—
AA10990
HARVARD PILGRIM ID #
MA
01
—
Y36903
BLUE CROSS OF MA PROVIDER
MA
Enumeration date
12/05/2006
Last updated
07/09/2007
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