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General NPI Number Information
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NPI Number | 1013428838
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Entity Type | Individual
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Provider Name | MARGARIDA CARDOSO HOLMES
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 195 CANAL ST
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City | MALDEN
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State | MA
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Zip | 02148-6701
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Country | US
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Telephone | 781-338-0500
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Fax | 781-338-8939
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Provider Business Mailing Address
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Address Line | 15 DURANT ST
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City | LOWELL
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State | MA
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Zip | 01850-2520
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Country | US
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Telephone | 978-596-7691
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Fax | 781-338-8939
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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