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General NPI Number Information
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NPI Number | 1770475865
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Entity Type | Individual
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Provider Name | REBECCA DE CRISTOFARO
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 45 RESNIK RD STE 202
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City | PLYMOUTH
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State | MA
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Zip | 02360-4844
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Country | US
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Telephone | 508-746-1326
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Fax |
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Provider Business Mailing Address
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Address Line | 37 BALD EAGLE RD
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City | WEYMOUTH
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State | MA
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Zip | 02190-2851
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Country | US
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Telephone | 402-429-0616
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN2313725
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License Number State | MA
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