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General NPI Number Information
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NPI Number | 1750106902
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Entity Type | Individual
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Provider Name | JAMES K MUCHIRI
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Gender | Male
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 85 PATTON RD
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City | DEVENS
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State | MA
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Zip | 01434-4401
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Country | US
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Telephone | 978-615-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 85 PATTON RD
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City | DEVENS
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State | MA
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Zip | 01434-4401
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Country | US
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Telephone |
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | RN2364010
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | RN2364010
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | RN2364010
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | RN2364010
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | RN2364010
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | RN2364010
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2364010
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License Number State | MA
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