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General NPI Number Information
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NPI Number | 1619355260
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Entity Type | Individual
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Provider Name | DAWN DECOSTA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 8 N MAIN ST FL 5
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City | ATTLEBORO
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State | MA
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Zip | 02703-2282
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Country | US
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Telephone | 508-409-0000
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Fax | 508-492-2964
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Provider Business Mailing Address
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Address Line | 792 S MAIN ST STE 102
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City | MANSFIELD
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State | MA
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Zip | 02048-3137
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Country | US
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Telephone | 508-470-9783
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Fax | 508-231-9020
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2280575
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 065101-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 065101-21
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License Number State | NH
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