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General NPI Number Information
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NPI Number | 1144940230
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Entity Type | Individual
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Provider Name | DORIS KISSI NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 101 FEDERAL ST
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City | BOSTON
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State | MA
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Zip | 02110-1817
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 25 HONEYSUCKLE RD
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City | WORCESTER
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State | MA
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Zip | 01607-1823
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Country | US
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Telephone | 508-688-5602
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2269321
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License Number State | MA
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