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General NPI Number Information
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NPI Number | 1508303488
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Entity Type | Individual
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Provider Name | PATRICE HORGAN RN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 195 CANAL ST
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City | MALDEN
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State | MA
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Zip | 02148-6701
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Country | US
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Telephone | 617-665-1305
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ERIN LN
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City | BURLINGTON
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State | MA
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Zip | 01803-1547
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 155302
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 155302
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License Number State | MA
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