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NPI 1710248976

NPI 1710248976 : JENNIFER ALBERTI LICAC : BRAINTREE, MA

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General NPI Number Information
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    NPI Number           |    1710248976
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER ALBERTI LICAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/05/2012
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    140 WOOD RD STE 401 
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    City                 |    BRAINTREE
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    State                |    MA
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    Zip                  |    02184-2515
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    Country              |    US
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    Telephone            |    617-213-0057
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    140 WOOD RD STE 401 
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    City                 |    BRAINTREE
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    State                |    MA
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    Zip                  |    02184-2515
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    Country              |    US
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    Telephone            |    617-213-0057
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    1572
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    License Number State |    CO
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