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NPI 1558181990

NPI 1558181990 : JULIA SPINALE : OAK BLUFFS, MA

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General NPI Number Information
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    NPI Number           |    1558181990
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA SPINALE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2024
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    Last Update Date     |    10/11/2024
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Provider Practice Location Address
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    Address Line         |    1 HOSPITAL RD 
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    City                 |    OAK BLUFFS
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    State                |    MA
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    Zip                  |    02557-1406
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    Country              |    US
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    Telephone            |    508-693-0410
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2902 
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    City                 |    OAK BLUFFS
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    State                |    MA
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    Zip                  |    02557-2902
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    Country              |    US
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    Telephone            |    774-254-1897
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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        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    RN2317761
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    License Number State |    MA
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