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General NPI Number Information
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NPI Number | 1467314633
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Entity Type | Organization
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Legal Business Name | MEDCLINE WELLNESS, PLLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 95 SURREY ST
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City | BOSTON
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State | MA
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Zip | 02135-2634
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Country | US
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Telephone | 978-727-4258
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Fax |
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Provider Business Mailing Address
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Address Line | 95 SURREY ST
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City | BOSTON
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State | MA
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Zip | 02135-2634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | LAURA CLINE
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Credential | DNP, FNP-BC, CPNP,RN
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Telephone | 978-727-4258
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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 |
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License Number State |
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