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General NPI Number Information
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NPI Number | 1184181380
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Entity Type | Individual
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Provider Name | KATHRYN VIONA OAS AGNP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2019
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 94 HAMPSHIRE ST UNIT A
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1504
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Country | US
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Telephone | 801-602-5524
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Fax |
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Provider Business Mailing Address
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Address Line | 94 HAMPSHIRE ST UNIT A
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1504
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AG07180344
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN2298520
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License Number State | MA
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