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General NPI Number Information
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NPI Number | 1376615096
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Entity Type | Individual
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Provider Name | MARISA A GIORGI NP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 18 GRANITE STREET BLACKSTONE VALLEY FAMILY PRACTICE
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City | WHITINSVILLE
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State | MA
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Zip | 01588-1908
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Country | US
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Telephone | 508-234-6311
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Fax | 508-234-4215
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Provider Business Mailing Address
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Address Line | 124 GROVE ST SUITE 305
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City | FRANKLIN
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State | MA
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Zip | 02038-3156
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Country | US
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Telephone | 508-528-5392
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Fax | 508-541-2420
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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 | 229093
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License Number State | MA
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