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NPI 1225232036

NPI 1225232036 : CARRIE J JOCHELSON APRN : NEWTON, MA

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General NPI Number Information
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    NPI Number           |    1225232036
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    Entity Type          |    Individual 
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    Provider Name        |    CARRIE J JOCHELSON APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2007
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    Last Update Date     |    04/29/2022
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Provider Practice Location Address
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    Address Line         |    53 LANGLEY RD STE 350 
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    City                 |    NEWTON
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    State                |    MA
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    Zip                  |    02459-1908
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    Country              |    US
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    Telephone            |    617-527-1412
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    Fax                  |    508-987-4894
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Provider Business Mailing Address
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    Address Line         |    867 BOYLESTON STREET SUITE 500 UNIT 514
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02116-2774
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    Country              |    US
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    Telephone            |    617-797-8228
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    RN131827
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    RN131827
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    364SP0809X
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    Taxonomy Name        |    Adult Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    131827
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    License Number State |    MA
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