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General NPI Number Information
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NPI Number | 1568334381
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Entity Type | Individual
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Provider Name | DANAIT FESSEHATZION FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 25 LAFAYETTE ST
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City | MARBLEHEAD
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State | MA
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Zip | 01945-1939
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Country | US
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Telephone | 781-631-4535
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Fax |
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Provider Business Mailing Address
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Address Line | 22 FOWLER AVE
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City | REVERE
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State | MA
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Zip | 02151-1704
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Country | US
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Telephone | 617-580-7494
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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 | RN2342974
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License Number State | MA
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