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General NPI Number Information
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NPI Number | 1184058596
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Entity Type | Individual
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Provider Name | KERRY LEIGH CHENAUSKY RN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2 MEDICAL CENTER DR STE 301
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1298
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Country | US
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Telephone | 413-707-0590
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PEPPER RIDGE DR
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City | BELCHERTOWN
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State | MA
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Zip | 01007-9026
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 42421142
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2277496
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2277496
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 676615
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License Number State | NY
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