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General NPI Number Information
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NPI Number | 1659762714
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Entity Type | Individual
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Provider Name | LAYWELL TEDOE NP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 108 N FRONT ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-7327
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Country | US
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Telephone | 774-628-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 75 N MAIN ST
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City | RANDOLPH
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State | MA
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Zip | 02368-4605
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Country | US
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Telephone | 774-257-6565
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2269898
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2269898
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 0024172332
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2269898
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License Number State | MA
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