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General NPI Number Information
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NPI Number | 1487833299
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Entity Type | Individual
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Provider Name | VIRGINIA NDORO
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Gender | Female
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 50 LEXINGTON ST # 2
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8219
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Country | US
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Telephone | 617-454-4186
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Fax |
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Provider Business Mailing Address
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Address Line | 50 LEXINGTON ST # 2
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8219
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Country | US
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Telephone | 617-454-4186
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 279515
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN279515
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN279515
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN279515
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License Number State | MA
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