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General NPI Number Information
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NPI Number | 1548948169
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Entity Type | Individual
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Provider Name | HANNAH ROSE WASHBURN APRN
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 300 BIRNIE AVE STE 201
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1121
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Country | US
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Telephone | 413-785-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 300 BIRNIE AVE STE 201
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1121
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Country | US
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Telephone | 413-887-7738
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2325094
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License Number State | MA
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