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General NPI Number Information
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NPI Number | 1699785543
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Entity Type | Individual
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Provider Name | CHARLES J STRECIWILK NP
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 340 MONTAGUE CITY ROAD FARREN CARE CENTER
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City | TURNERS FALLS
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State | MA
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Zip | 01376
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Country | US
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Telephone | 413-774-3111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 910
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City | GREENFIELD
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State | MA
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Zip | 01302-0910
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Country | US
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Telephone | 413-772-8500
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Fax | 413-772-8900
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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 | 128700
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License Number State | MA
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