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General NPI Number Information
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NPI Number | 1528797644
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Entity Type | Individual
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Provider Name | BRIANA MASSETTI AG-ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 1930 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2328
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Country | US
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Telephone | 215-709-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 5 JOANN DR
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City | ASTON
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State | PA
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Zip | 19014-2764
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Country | US
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Telephone | 610-246-2371
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP025784
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License Number State | PA
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