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General NPI Number Information
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NPI Number | 1467277582
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Entity Type | Individual
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Provider Name | COURTENEY ELIZABETH ADA LINDBERG
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 101 RANDOLPH RD
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City | WORCESTER
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State | MA
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Zip | 01606-2463
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Country | US
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Telephone | 508-853-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 11 IRENE CT
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City | MILLBURY
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State | MA
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Zip | 01527-3700
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Country | US
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Telephone | 508-450-9642
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | X
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License Number State | MA
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