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General NPI Number Information
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NPI Number | 1598093973
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Entity Type | Individual
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Provider Name | HEATHER LEE BRIERE NP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 9 TROLLEY CROSSING RD
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City | CHARLTON
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State | MA
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Zip | 01507-1351
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Country | US
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Telephone | 508-784-1278
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Fax | 508-784-1279
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Provider Business Mailing Address
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Address Line | 128 MAIN ST SUITE 4
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City | STURBRIDGE
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State | MA
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Zip | 01566-1556
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Country | US
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Telephone | 508-347-9240
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Fax | 508-347-5361
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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 | 213852
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License Number State | MA
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