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General NPI Number Information
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NPI Number | 1164753729
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Entity Type | Individual
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Provider Name | KERRI L CUSHING NP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 88 WASHINGTON STREET
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City | TAUNTON
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State | MA
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Zip | 02780
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Country | US
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Telephone | 508-828-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 415348
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City | BOSTON
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State | MA
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Zip | 02241-5348
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Country | US
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Telephone | 800-225-8885
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Fax | 508-334-1977
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN237411
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License Number State | MA
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