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General NPI Number Information
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NPI Number | 1760118947
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Entity Type | Individual
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Provider Name | MICHAEL PASCALE
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Gender | Male
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 160 OLD DERBY ST
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City | HINGHAM
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State | MA
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Zip | 02043-4005
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Country | US
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Telephone | 781-837-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 485 HUNTINGTON RD STE 199-202
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City | ATHENS
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State | GA
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Zip | 30606-1861
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Country | US
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Telephone | 908-432-6652
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2326935
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2326935
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN328697
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License Number State | GA
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