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General NPI Number Information
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NPI Number | 1184430555
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Entity Type | Individual
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Provider Name | SAMANTHA KERRINS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1180 BEACON ST STE 1A
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City | BROOKLINE
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State | MA
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Zip | 02446-3806
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Country | US
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Telephone | 617-396-8005
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Fax | 617-396-8015
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Provider Business Mailing Address
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Address Line | 787 E BROADWAY APT 1L
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City | SOUTH BOSTON
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State | MA
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Zip | 02127-2345
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Country | US
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Telephone | 508-369-8949
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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 | RN2316606
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License Number State | MA
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