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General NPI Number Information
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NPI Number | 1376576496
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Entity Type | Individual
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Provider Name | PAULA L CHEVRIER NP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 875 ENFIELD ST
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City | ENFIELD
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State | CT
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Zip | 06082-3617
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Country | US
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Telephone | 413-596-5738
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Fax |
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Provider Business Mailing Address
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Address Line | 208 MAIN ST
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City | WILBRAHAM
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State | MA
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Zip | 01095-1676
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Country | US
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Telephone | 413-596-5738
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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 | 130166
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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 | 000601
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License Number State | CT
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