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General NPI Number Information
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NPI Number | 1275976995
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Entity Type | Individual
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Provider Name | CYNTHIA A KELLEY-GRADY ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 140 HIGH ST STE 300
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City | SPRINGFIELD
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State | MA
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Zip | 01105-1435
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Country | US
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Telephone | 413-887-5130
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Fax | 413-733-1924
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Provider Business Mailing Address
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Address Line | 25 BOND ST
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City | SPRINGFIELD
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State | MA
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Zip | 01104-3401
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Country | US
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Telephone | 134-949-5849
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Fax | 508-425-3098
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2263526
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License Number State | MA
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