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General NPI Number Information
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NPI Number | 1801233127
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Entity Type | Individual
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Provider Name | RACHEL N DERRY F.N.P - B.C.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 358 SHREWSBURY ST
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City | WORCESTER
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State | MA
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Zip | 01604
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Country | US
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Telephone | 508-438-0144
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 534
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City | WORCESTER
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State | MA
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Zip | 01613-0534
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Country | US
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Telephone | 508-438-0144
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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 | RN273060
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License Number State | MA
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