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General NPI Number Information
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NPI Number | 1508714031
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Entity Type | Individual
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Provider Name | LUCIE MAREIRA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 795 MIDDLE ST
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City | FALL RIVER
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State | MA
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Zip | 02721-1798
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Country | US
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Telephone | 508-674-5600
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Fax | 508-235-5432
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Provider Business Mailing Address
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Address Line | 1041 ADAMS ST APT 2
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City | BOSTON
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State | MA
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Zip | 02124-5708
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Country | US
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Telephone | 617-840-3048
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LDN8704
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License Number State | MA
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