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General NPI Number Information
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NPI Number | 1457474074
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Entity Type | Individual
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Provider Name | KATHLEEN F MCCARTHY NP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 1132 WESTFIELD ST
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-3878
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Country | US
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Telephone | 413-592-1980
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Fax | 413-439-0096
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Provider Business Mailing Address
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Address Line | 144 RINDGE AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02140-2527
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Country | US
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Telephone | 617-441-8566
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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 | 102007
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License Number State | MA
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