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General NPI Number Information
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NPI Number | 1679558415
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Entity Type | Individual
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Provider Name | JEAN PASTORELLO NP
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Gender | Female
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3 WATER VILLAGE ROAD
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City | OSSIPEE
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State | NH
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Zip | 03864
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Country | US
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Telephone | 603-539-6996
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Fax | 603-539-5284
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Provider Business Mailing Address
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Address Line | 10 ADANAC TER
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City | DORCHESTER CENTER
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State | MA
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Zip | 02124-3829
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Country | US
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Telephone | 617-436-2140
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 090039-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN213321
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License Number State | MA
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