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General NPI Number Information
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NPI Number | 1114077005
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Entity Type | Individual
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Provider Name | JOAN M OATIS NP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 81 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2714
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Country | US
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Telephone | 978-354-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 6 BIRCHWOOD RD
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City | WILMINGTON
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State | MA
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Zip | 01887-1903
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Country | US
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Telephone | 978-658-8275
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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 | 175461
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License Number State | MA
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