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General NPI Number Information
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NPI Number | 1720893993
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Entity Type | Individual
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Provider Name | CLAIRE TONGKAEW APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 14 ERIN WAY
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City | SOUTH WEYMOUTH
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State | MA
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Zip | 02190-2832
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Country | US
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Telephone | 224-289-6915
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Fax |
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Provider Business Mailing Address
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Address Line | 500 COMMONWEALTH AVE # 526
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City | BOSTON
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State | MA
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Zip | 02215-2606
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Country | US
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Telephone | 224-289-6915
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2350970
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2350970
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License Number State | MA
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