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General NPI Number Information
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NPI Number | 1538215389
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Entity Type | Organization
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Legal Business Name | JEANNE WATSON DRISCOLL, MS,RN,CS,PC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 27 MICA LN SUITE 205
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City | WELLESLEY
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State | MA
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Zip | 02481-1724
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Country | US
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Telephone | 781-431-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 5 SCHIRMER RD
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City | BOSTON
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State | MA
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Zip | 02132-1112
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Country | US
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Telephone | 617-325-8940
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Fax | 617-327-8570
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEANNE WATSON DRISCOLL
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Credential | PHD, APRN, BC
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Telephone | 617-325-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 111854
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License Number State | MA
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