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General NPI Number Information
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NPI Number | 1770051138
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Entity Type | Individual
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Provider Name | JOSEPH PATRICK HENNESSEY JR. RN
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Gender | Male
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 55 FEDERAL ST
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City | GREENFIELD
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State | MA
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Zip | 01301-2546
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Country | US
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Telephone | 413-726-8320
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Fax |
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Provider Business Mailing Address
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Address Line | 92 COTTAGE ST
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City | GREENFIELD
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State | MA
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Zip | 01301-1412
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 198076
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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 | RN198076
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License Number State | MA
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