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General NPI Number Information
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NPI Number | 1265368484
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Entity Type | Organization
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Legal Business Name | EAST ASTRA PARTNERS PA
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 8 KINNAIRD ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3733
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Country | US
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Telephone | 857-321-9357
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Fax |
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Provider Business Mailing Address
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Address Line | 955 MASSACHUSETTS AVE STE 158
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City | CAMBRIDGE
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State | MA
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Zip | 02139-3180
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Country | US
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Telephone | 332-699-6778
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBORAH GORDON
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Credential |
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Telephone | 617-921-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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