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Individual

DEBORAH DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
274 GREAT RD, ACTON, MA 01720-4702
(978) 263-5182
Mailing address
274 GREAT RD, ACTON, MA 01720-4702
(978) 263-5182

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2742
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0047190
NEIGHBORHOOD HEALTH
MA
05
1600516
MA
01
3116916
AETNA ID NUMBER
MA
01
462097
TUFTS ID NUMBER
MA
01
676910
CIGNA ID NUMBER
MA
01
AA10989
HARVARD PILGRIM ID NUMBER
MA
01
Y36902
BLUE CROSS OF MA ID NUMBE
MA
Enumeration date
12/05/2006
Last updated
02/06/2012
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