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General NPI Number Information
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NPI Number | 1700635422
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Entity Type | Individual
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Provider Name | NAYRI SAHAGIAN BALMANOUKIAN C-PNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 233 W CENTRAL ST
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City | NATICK
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State | MA
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Zip | 01760-3757
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Country | US
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Telephone | 508-655-7936
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Fax |
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Provider Business Mailing Address
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Address Line | 8 COUNTRY LN
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City | MAYNARD
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State | MA
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Zip | 01754-1305
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Country | US
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Telephone | 617-458-9073
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA6423
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN2314076
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2314076
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License Number State | MA
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