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General NPI Number Information
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NPI Number | 1316716491
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Entity Type | Individual
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Provider Name | MYRA RICO APRN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 50 BOSTON ST
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City | LYNN
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State | MA
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Zip | 01904-2538
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Country | US
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Telephone | 781-342-4191
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Fax |
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Provider Business Mailing Address
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Address Line | 191-205 PARKINGWAY
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-820-5968
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Fax | 833-471-5603
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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 | APRN11029568
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN10000223
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License Number State | MA
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