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General NPI Number Information
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NPI Number | 1427535913
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Entity Type | Individual
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Provider Name | PATRICIA ADELINE RUSU RN
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 2 POND PARK RD STE 308
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City | HINGHAM
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State | MA
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Zip | 02043-4354
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Country | US
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Telephone | 781-740-7840
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Fax | 781-740-9840
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Provider Business Mailing Address
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Address Line | 38 SUNNYSIDE RD
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City | QUINCY
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State | MA
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Zip | 02169-1234
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Country | US
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Telephone | 617-548-0366
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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 | 163WS0121X
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Taxonomy Name | Plastic Surgery Registered Nurse
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License Number | RN2313417
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2313417
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License Number State | MA
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