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General NPI Number Information
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NPI Number | 1548831274
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Entity Type | Individual
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Provider Name | CHRISTOPHER WILLIAM DRISCOLL SR. PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/04/2021
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 25 BIRCH ST
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City | MILFORD
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State | MA
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Zip | 01757-3585
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Country | US
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Telephone | 781-551-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 163 MAIN ST STE 6-G
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City | MEDWAY
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State | MA
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Zip | 02053-1533
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Country | US
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Telephone | 508-682-5102
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Fax | 508-296-8873
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2335482
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License Number State | MA
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