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NPI 1437396611

NPI 1437396611 : JENNIFER M. TROWBRIDGE PNP : HOLYOKE, MA

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General NPI Number Information
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    NPI Number           |    1437396611
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER M. TROWBRIDGE PNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/09/2009
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    150 LOWER WESTFIELD RD 
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    City                 |    HOLYOKE
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    State                |    MA
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    Zip                  |    01040-2890
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    Country              |    US
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    Telephone            |    413-536-2393
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    Fax                  |    413-536-1087
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Provider Business Mailing Address
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    Address Line         |    150 LOWER WESTFIELD RD 
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    City                 |    HOLYOKE
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    State                |    MA
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    Zip                  |    01040-2890
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    Country              |    US
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    Telephone            |    413-536-2393
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    Fax                  |    413-536-1087
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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        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    275867
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    License Number State |    MA
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