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General NPI Number Information
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NPI Number | 1063059426
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Entity Type | Individual
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Provider Name | MARY THERESA LANGMAID RN, MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 30 TOZER RD
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City | BEVERLY
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State | MA
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Zip | 01915-5502
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Country | US
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Telephone | 978-745-3050
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Fax | 978-745-7014
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Provider Business Mailing Address
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Address Line | 30 TOZER RD
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City | BEVERLY
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State | MA
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Zip | 01915-5502
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Country | US
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Telephone | 978-745-3050
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Fax | 978-745-7014
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN2295941
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN2295941
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2295941
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License Number State | MA
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