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NPI 1689303323

NPI 1689303323 : KATE LAUREL AIELLO PA-C : WESTBOROUGH, MA

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General NPI Number Information
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    NPI Number           |    1689303323
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    Entity Type          |    Individual 
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    Provider Name        |    KATE LAUREL AIELLO PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/08/2022
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    Last Update Date     |    11/14/2023
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Provider Practice Location Address
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    Address Line         |    139 TURNPIKE RD 
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    City                 |    WESTBOROUGH
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    State                |    MA
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    Zip                  |    01581-2835
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    Country              |    US
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    Telephone            |    508-882-7300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    360 US HIGHWAY 1 BYP UNIT 102 
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    City                 |    PORTSMOUTH
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    State                |    NH
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    Zip                  |    03801-7105
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    Country              |    US
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    Telephone            |    603-410-6700
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    Fax                  |    603-319-8308
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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