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General NPI Number Information
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NPI Number | 1134931157
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Entity Type | Individual
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Provider Name | MICHAEL KAPLAN HARTLAUB NP
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Gender | Male
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Dates
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Enumeration Date | 01/25/2025
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 333 ELM ST STE 205
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City | DEDHAM
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State | MA
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Zip | 02026-4530
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Country | US
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Telephone | 800-930-5956
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Fax |
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Provider Business Mailing Address
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Address Line | 23 FOREST HILLS ST APT 1
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-4963
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Country | US
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Telephone | 781-733-0633
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2328849
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License Number State | MA
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