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General NPI Number Information
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NPI Number | 1336861814
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Entity Type | Individual
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Provider Name | AMANDA ALICE CAGGIANO COLES RN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 830 SILVER ST
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City | AGAWAM
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State | MA
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Zip | 01001-2990
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Country | US
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Telephone | 413-363-1039
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HIGH MEADOW RD
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City | FLORENCE
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State | MA
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Zip | 01062-2625
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Country | US
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Telephone | 845-590-3801
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2281792
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2281792
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License Number State | MA
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