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General NPI Number Information
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NPI Number | 1295537835
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Entity Type | Individual
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Provider Name | LISA MARIE HADDON RN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 15 MIDSTATE DR STE 100
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City | AUBURN
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State | MA
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Zip | 01501-1856
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Country | US
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Telephone | 774-321-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 51 BAY VIEW DRIVE
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City | SHREWSBURY
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State | MA
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Zip | 01545-0154
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Country | US
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Telephone | 508-887-0292
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 178801
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License Number State | MA
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