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General NPI Number Information
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NPI Number | 1376230391
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Entity Type | Organization
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Legal Business Name | PATHWAY TO BETTER HEALTH PLLC
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 02/25/2024
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Provider Practice Location Address
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Address Line | 97 CENTRAL ST STE 303
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City | LOWELL
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State | MA
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Zip | 01852-1931
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Country | US
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Telephone | 978-487-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 97 CENTRAL ST STE 303
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City | LOWELL
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State | MA
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Zip | 01852-1931
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JESSICA WISOCKY
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Credential | FNP
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Telephone | 978-487-6783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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