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General NPI Number Information
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NPI Number | 1770131609
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Entity Type | Individual
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Provider Name | DEIRDRE JANE CHAFE CNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 157 UNION ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1228
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Country | US
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Telephone | 781-540-1119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 415348
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City | BOSTON
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State | MA
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Zip | 02241-5348
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2288298
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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 | RN2288298
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License Number State | MA
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