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General NPI Number Information
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NPI Number | 1477230126
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Entity Type | Individual
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Provider Name | RIRY IPTARIA NP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 140 WOOD RD STE 305
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City | BRAINTREE
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State | MA
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Zip | 02184-2514
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Country | US
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Telephone | 857-246-9393
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Fax | 980-500-2086
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Provider Business Mailing Address
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Address Line | 377 WILLARD ST STE 342
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City | QUINCY
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State | MA
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Zip | 02169-6122
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Country | US
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Telephone | 857-246-9393
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Fax | 980-500-2086
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN2309815
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License Number State | MA
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