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General NPI Number Information
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NPI Number | 1730452202
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Entity Type | Organization
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Legal Business Name | MARLBOROUGH PUBLIC SCHOOLS
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 80 FOLEY RD
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1922
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Country | US
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Telephone | 508-624-6934
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Fax |
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Provider Business Mailing Address
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Address Line | 29 AVALON DR PO BOX 194
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City | WEST BROOKFIELD
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State | MA
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Zip | 01585-2741
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Country | US
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Telephone | 617-939-6681
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Fax |
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Authorized Official
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Title or Position | SCHOOL NURSE
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Name | KRISTIE LEE STOLGITIS
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Credential | CPNP-PC
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Telephone | 508-624-6934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 217062
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 217062
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | 217062
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License Number State | MA
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