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General NPI Number Information
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NPI Number | 1417780958
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Entity Type | Individual
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Provider Name | JAMES SCOTT GILLESPIE NP
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Gender | Male
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3 WOODLAND RD STE 322
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City | STONEHAM
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State | MA
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Zip | 02180-1713
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Country | US
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Telephone | 781-662-6519
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Fax |
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Provider Business Mailing Address
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Address Line | 812 HOUSATONIC AVENUE EXT
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City | STRATFORD
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State | CT
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Zip | 06615-6029
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN10021583
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License Number State | MA
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