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General NPI Number Information
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NPI Number | 1063139608
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Entity Type | Individual
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Provider Name | ZACHARY LAWRENCE CYR NP
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Gender | Male
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 55 LAKE AVE N
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City | WORCESTER
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State | MA
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Zip | 01655-0002
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Country | US
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Telephone | 774-441-6468
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 415348
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City | BOSTON
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State | MA
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Zip | 02241-5348
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Country | US
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Telephone | 800-225-8885
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP241056
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2345433
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License Number State | MA
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