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NPI 1578073128

NPI 1578073128 : KAREN CARREIRO FNP-C : FALL RIVER, MA

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General NPI Number Information
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    NPI Number           |    1578073128
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN CARREIRO FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/10/2017
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    Last Update Date     |    06/30/2020
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Provider Practice Location Address
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    Address Line         |    775 DAVOL ST STE 3 
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    City                 |    FALL RIVER
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    State                |    MA
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    Zip                  |    02720-1028
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    Country              |    US
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    Telephone            |    508-674-4000
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    Fax                  |    508-674-8880
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Provider Business Mailing Address
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    Address Line         |    775 DAVOL ST STE 3 
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    City                 |    FALL RIVER
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    State                |    MA
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    Zip                  |    02720-1028
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    Country              |    US
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    Telephone            |    508-674-4000
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    Fax                  |    508-674-8880
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN01710
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    207NS0135X
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    Taxonomy Name        |    Procedural Dermatology Physician
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    License Number       |    RN285354
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    License Number State |    MA
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