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General NPI Number Information
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NPI Number | 1144758103
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Entity Type | Individual
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Provider Name | ANNIKA OBERG NP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 222 MAIN ST
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City | WILMINGTON
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State | MA
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Zip | 01887-2341
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Country | US
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Telephone | 978-658-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 168 NORTH ST
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City | NORTH READING
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State | MA
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Zip | 01864-1313
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 066723-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2273617
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License Number State | MA
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