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General NPI Number Information
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NPI Number | 1609344555
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Entity Type | Individual
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Provider Name | ROSALIND MCLAINE PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 1918 BLACK ROCK TPKE
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City | FAIRFIELD
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State | CT
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Zip | 06825-3543
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Country | US
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Telephone | 203-583-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PLEASANT ST APT 2
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-1189
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5227
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License Number State | CT
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