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General NPI Number Information
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NPI Number | 1255141859
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Entity Type | Individual
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Provider Name | SARAH DEPRADINE RN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 28 CHURCH ST STE 14
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City | WINCHESTER
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State | MA
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Zip | 01890-2538
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Country | US
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Telephone | 888-693-7103
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CITYVIEW LN APT 710
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City | QUINCY
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State | MA
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Zip | 02169-4658
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Country | US
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Telephone | 888-693-7103
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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 | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number | RN2349670
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2349670
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN2349670
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License Number State | MA
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