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General NPI Number Information
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NPI Number | 1447174255
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Entity Type | Organization
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Legal Business Name | GAIA WOMEN'S WELLNESS
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1 WILLIAM GRIFFIN WAY
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City | NEWBURYPORT
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State | MA
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Zip | 01950-1883
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Country | US
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Telephone | 978-949-8584
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Fax | 949-991-4056
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Provider Business Mailing Address
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Address Line | 1 WILLIAM GRIFFIN WAY
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City | NEWBURYPORT
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State | MA
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Zip | 01950-1883
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Country | US
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Telephone | 978-949-8584
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Fax | 949-991-4056
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. NIKOLETTA TARKAN
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Credential | ARNP
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Telephone | 603-557-8164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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