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General NPI Number Information
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NPI Number | 1548742364
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Entity Type | Individual
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Provider Name | FLORENCE MUMBI GICHUHI NP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 378 MAPLE AVE
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City | SHREWSBURY
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State | MA
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Zip | 01545-2675
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Country | US
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Telephone | 508-595-2513
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Fax |
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Provider Business Mailing Address
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Address Line | 59 CAMPBELL ST
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City | RUTLAND
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State | MA
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Zip | 01543-1603
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Country | US
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Telephone | 508-615-8237
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2277350
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN2277350
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License Number State | MA
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