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General NPI Number Information
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NPI Number | 1750252110
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Entity Type | Individual
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Provider Name | MACKENZIE ALISHIA CARR
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 203 LOWELL ST
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City | WILMINGTON
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State | MA
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Zip | 01887-2980
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Country | US
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Telephone | 978-658-9931
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LIBRA LN
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City | TOWNSEND
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State | MA
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Zip | 01469-1370
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Country | US
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Telephone | 978-604-2010
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN2313762
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License Number State | MA
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