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General NPI Number Information
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NPI Number | 1609914381
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Entity Type | Individual
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Provider Name | CHRISTINE ALANNA COCCHIARO PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 286 KINGSTOWN WAY
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City | DUXBURY
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State | MA
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Zip | 02332-4605
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Country | US
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Telephone | 617-505-1033
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Fax | 877-915-1401
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Provider Business Mailing Address
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Address Line | 12 SUNCREST RD
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City | ANDOVER
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State | MA
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Zip | 01810-5719
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Country | US
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Telephone | 978-886-3957
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1989
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License Number State | MA
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