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NPI 1003614868

NPI 1003614868 : HOLBROOK CARON : ASHLAND, MA

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General NPI Number Information
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    NPI Number           |    1003614868
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    Entity Type          |    Individual 
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    Provider Name        |    HOLBROOK CARON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/06/2025
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    Last Update Date     |    07/01/2026
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Provider Practice Location Address
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    Address Line         |    7 CIRRUS DR APT 7305 
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    City                 |    ASHLAND
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    State                |    MA
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    Zip                  |    01721-4429
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    Country              |    US
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    Telephone            |    413-345-8434
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    71 WEST ST 
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    City                 |    BELCHERTOWN
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    State                |    MA
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    Zip                  |    01007-9621
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    RN2363040
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    License Number State |    MA
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