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General NPI Number Information
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NPI Number | 1518789791
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Entity Type | Organization
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Legal Business Name | EMPOWER THERAPEUTICS, PLLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 49 STATE RD NAUSET BUILDING #102
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City | DARTMOUTH
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State | MA
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Zip | 02747-3322
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Country | US
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Telephone | 508-848-8089
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Fax | 774-628-9857
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Provider Business Mailing Address
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Address Line | 6 MELISSA ANN LN
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City | MATTAPOISETT
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State | MA
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Zip | 02739-1077
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Country | US
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Telephone | 508-264-2003
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL A PELLEGRINO
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Credential | DO
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Telephone | 508-848-8089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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