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General NPI Number Information
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NPI Number | 1053809681
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Entity Type | Individual
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Provider Name | SARAI LT WELCH
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Gender | Female
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 12 INGALLS CT
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City | METHUEN
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State | MA
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Zip | 01844-3712
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Country | US
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Telephone | 888-514-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 353 SEA ST APT 2
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City | QUINCY
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State | MA
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Zip | 02169-2722
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Country | US
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Telephone | 617-642-1057
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN2265037
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License Number State | MA
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