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General NPI Number Information
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NPI Number | 1013427699
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Entity Type | Individual
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Provider Name | BRIDGET O'NEIL MCKINNEY CNP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 978 BOYLSTON ST
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City | NEWTON
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State | MA
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Zip | 02461-1504
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Country | US
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Telephone | 781-710-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 930 COMMONWEALTH AVE
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City | BOSTON
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State | MA
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Zip | 02215-1274
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2306113
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License Number State | MA
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