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General NPI Number Information
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NPI Number | 1417207788
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Entity Type | Individual
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Provider Name | CHRISTINE ANN DUMONT OTT NP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 41 MALL RD
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City | BURLINGTON
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State | MA
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Zip | 01805-2526
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Country | US
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Telephone | 781-744-8000
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Fax |
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Provider Business Mailing Address
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Address Line | LAHEY CLINIC INC 41 MALL ROAD
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City | BURLINGTON
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State | MA
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Zip | 01805-0001
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Country | US
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Telephone | 781-744-8085
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 071322-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 212154
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN212154
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License Number State | MA
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