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General NPI Number Information
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NPI Number | 1396678975
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Entity Type | Individual
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Provider Name | MARGARET DIETRICH CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 211 PARK ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-3137
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Country | US
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Telephone | 508-222-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 195 BLACKBURN ST
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City | PAWTUCKET
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State | RI
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Zip | 02861-1400
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Country | US
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Telephone | 847-533-7864
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2372012
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License Number State | MA
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