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General NPI Number Information
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NPI Number | 1295559649
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE DELISLE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 323 N MAIN ST
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City | UXBRIDGE
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State | MA
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Zip | 01569-1757
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 14 WALKER RD
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City | WALES
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State | MA
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Zip | 01081-9704
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Country | US
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Telephone | 413-505-7559
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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 | 268368
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License Number State | MA
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