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General NPI Number Information
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NPI Number | 1366286320
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Entity Type | Individual
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Provider Name | CORTNEY DRYER
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Gender | Female
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Dates
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Enumeration Date | 06/24/2024
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 159 WELLS AVE
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City | NEWTON
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State | MA
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Zip | 02459-3301
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Country | US
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Telephone | 617-243-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 49 HAWLEY RD
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City | MELROSE
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State | MA
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Zip | 02176-1346
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Country | US
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Telephone | 617-388-7930
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN271382
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License Number State | MA
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