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General NPI Number Information
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NPI Number | 1497857981
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Entity Type | Individual
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Provider Name | MELISSA ANNE WOOLWINE APRN, BC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 67 UNION ST #206
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City | NATICK
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State | MA
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Zip | 01760-7700
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Country | US
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Telephone | 508-655-0065
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Fax | 508-907-6210
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Provider Business Mailing Address
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Address Line | 15 ROWE HILL RD
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City | STONEHAM
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State | MA
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Zip | 02180-2826
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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 |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 258413
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License Number State | MA
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