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General NPI Number Information
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NPI Number | 1467893701
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Entity Type | Individual
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Provider Name | REBECCA L BLAIR CPNP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 5 WALPOLE ST STE 2
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City | NORWOOD
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State | MA
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Zip | 02062-3351
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Country | US
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Telephone | 508-444-9818
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Fax |
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Provider Business Mailing Address
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Address Line | 17 RUSSELL RD
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City | WINCHESTER
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State | MA
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Zip | 01890-1930
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Country | US
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Telephone | 860-966-9901
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Fax | 860-966-9901
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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 | 5007098
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F382474
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2319505
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 658448
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 270864
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License Number State | NC
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