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General NPI Number Information
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NPI Number | 1689817728
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Entity Type | Organization
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Legal Business Name | CYNTHIA A. VELLA N.P. LLC
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Dates
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Enumeration Date | 04/18/2009
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 22 PLEASANT ST
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1506
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Country | US
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Telephone | 508-566-1155
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Fax | 508-563-3602
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Provider Business Mailing Address
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Address Line | PO BOX 483 28 OCEAN AVENUE
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City | CATAUMET
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State | MA
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Zip | 02534-0483
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Country | US
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Telephone | 508-566-1155
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CYNTHIA A VELLA
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Credential | NP
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Telephone | 508-566-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 169978
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License Number State | MA
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