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General NPI Number Information
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NPI Number | 1821587320
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Entity Type | Individual
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Provider Name | LEEANNE HEBERT
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Gender | Female
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 155 AIRPORT RD
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City | FITCHBURG
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State | MA
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Zip | 01420-8142
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Country | US
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Telephone | 978-501-4319
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ABBOT MILL LN APT 9-5
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City | WESTFORD
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State | MA
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Zip | 01886-1658
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Country | US
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Telephone | 978-501-4319
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13600
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LN102557
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License Number State | MA
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