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General NPI Number Information
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NPI Number | 1194434555
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Entity Type | Individual
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Provider Name | MARGARET ISANG RN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1 PEARL ST
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City | BROCKTON
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State | MA
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Zip | 02301-2864
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Country | US
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Telephone | 706-473-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PACELLA PARK DR APT 1107
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City | RANDOLPH
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State | MA
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Zip | 02368-1773
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Country | US
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Telephone | 706-473-5717
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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 | RN2327587
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License Number State | MA
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