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General NPI Number Information
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NPI Number | 1649156951
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Entity Type | Individual
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Provider Name | IRMA FEJZIC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 7 ALFRED ST STE 370
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City | WOBURN
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State | MA
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Zip | 01801-1929
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Country | US
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Telephone | 617-636-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 180 GREEN ST
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City | MELROSE
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State | MA
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Zip | 02176-1900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2382716
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License Number State | MA
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