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General NPI Number Information
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NPI Number | 1215007356
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Entity Type | Individual
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Provider Name | JUDITH J. FERRARO CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 450 BROOKLINE AVE
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City | BOSTON
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State | MA
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Zip | 02215-5450
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Country | US
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Telephone | 617-632-6464
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Fax | 617-632-6180
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Provider Business Mailing Address
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Address Line | 450 BROOKLINE AVE
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City | BOSTON
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State | MA
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Zip | 02215-5450
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Country | US
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Telephone | 617-632-6464
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Fax | 617-632-6180
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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 | RN2383547
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License Number State | MA
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