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General NPI Number Information
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NPI Number | 1104031772
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Entity Type | Individual
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Provider Name | DENA LEPRE ACKROYD PA- C
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1150 RESERVOIR AVE STE 201
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City | CRANSTON
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State | RI
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Zip | 02920-6032
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Country | US
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Telephone | 401-942-1300
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Fax | 617-224-1007
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Provider Business Mailing Address
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Address Line | 362 MOUNT VERNON ST
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City | DEDHAM
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State | MA
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Zip | 02026-3327
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Country | US
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Telephone |
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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 | PA00743
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License Number State | RI
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