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General NPI Number Information
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NPI Number | 1376750562
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Entity Type | Individual
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Provider Name | CHRISTINE LYNN WASILEWSKI MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-742-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-740-8787
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 1019284
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 14111
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License Number State | NH
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