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General NPI Number Information
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NPI Number | 1598551012
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Entity Type | Organization
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Legal Business Name | MASS GENERAL BRIGHAM
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone | 617-726-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | KATELYN VICTORIA BARRY
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Credential | ACAGNP-BC
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Telephone | 413-537-0159
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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 |
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License Number State |
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