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General NPI Number Information
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NPI Number | 1033088976
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Entity Type | Individual
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Provider Name | EFROSINI KONOMI PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 151 WORCESTER RD
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City | BARRE
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State | MA
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Zip | 01005-9099
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Country | US
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Telephone | 978-355-6321
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Fax |
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Provider Business Mailing Address
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Address Line | 49 REVOLUTION DR
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City | LEOMINSTER
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State | MA
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Zip | 01453-2558
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Country | US
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Telephone | 978-227-2413
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | MA
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