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General NPI Number Information
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NPI Number | 1790928398
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Entity Type | Individual
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Provider Name | KAREN EHRLICH DE MEO APRN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 886 WASHINGTON ST
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City | NORWOOD
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State | MA
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Zip | 02062-3466
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Country | US
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Telephone | 781-769-4682
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Fax |
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Provider Business Mailing Address
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Address Line | 15 WESTOVER PKWY
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City | NORWOOD
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State | MA
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Zip | 02062-1631
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Country | US
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Telephone | 781-762-2375
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 146139
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License Number State | MA
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