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NPI 1669289047

NPI 1669289047 : SARAH STRACCO : NORTHAMPTON, MA

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General NPI Number Information
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    NPI Number           |    1669289047
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH STRACCO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2024
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    Last Update Date     |    01/23/2025
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Provider Practice Location Address
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    Address Line         |    30 LOCUST ST 
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-2052
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    Country              |    US
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    Telephone            |    413-584-1060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 93 
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    City                 |    LEEDS
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    State                |    MA
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    Zip                  |    01053-0093
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    101.0137620
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    License Number State |    VT
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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       |    2290564
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    163WH1000X
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    Taxonomy Name        |    Hospice Registered Nurse
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    License Number       |    2290564
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    License Number State |    MA
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