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General NPI Number Information
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NPI Number | 1346029287
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Entity Type | Individual
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Provider Name | TAYLOR MARIE D'ELIA FNP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 495 WESTERN AVE
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City | BRIGHTON
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State | MA
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Zip | 02135-1007
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Country | US
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Telephone | 617-783-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PHILOMENA AVE # B
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City | REVERE
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State | MA
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Zip | 02151-2100
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Country | US
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Telephone | 781-913-4889
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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 | RN2317882
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License Number State | MA
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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 | 2023002703
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License Number State | MA
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