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General NPI Number Information
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NPI Number | 1295491553
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Entity Type | Individual
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Provider Name | HENRY LUBEGA NP
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Gender | Male
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 88 WAVERLEY ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-7100
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Country | US
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Telephone | 508-875-1237
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Fax | 508-875-1261
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Provider Business Mailing Address
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Address Line | 4 RIVERHURST RD APT 440
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City | BILLERICA
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State | MA
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Zip | 01821-6603
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Country | US
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Telephone | 775-338-0442
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2303312
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License Number State | MA
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