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General NPI Number Information
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NPI Number | 1528119989
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Entity Type | Individual
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Provider Name | MECHELLE JEAN PLASSE RN CS, NP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 36 N BEDFORD ST SUITE #3
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1186
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Country | US
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Telephone | 508-735-9406
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Fax | 508-697-6999
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Provider Business Mailing Address
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Address Line | 36 N BEDFORD ST STE 3
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1186
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Country | US
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Telephone | 507-735-9406
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Fax | 508-697-6999
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 176838
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 176838
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License Number State | MA
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