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General NPI Number Information
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NPI Number | 1639310691
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Entity Type | Individual
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Provider Name | TAMMY ZARUBA CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 100 HOSPITAL RD STE 4 MEDICAL ASSOCIATES PEDIATRICS
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City | LEOMINSTER
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State | MA
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Zip | 01453
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Country | US
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Telephone | 978-514-6300
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Fax | 978-514-6324
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Provider Business Mailing Address
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Address Line | 10 BUTTERFLY LN
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City | LUNENBURG
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State | MA
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Zip | 01462-4100
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Country | US
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Telephone | 617-901-4404
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Fax | 978-514-6324
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN274124
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License Number State | MA
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