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General NPI Number Information
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NPI Number | 1841266012
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Entity Type | Individual
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Provider Name | CHERYL L MARIANO-PERUGINI NP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 385 SOUTHBRIDGE ST
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City | AUBURN
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State | MA
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Zip | 01501-2498
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Country | US
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Telephone | 508-721-1180
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Fax | 508-721-9106
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Provider Business Mailing Address
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Address Line | 5 NEPONSET ST FL STREET2
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City | WORCESTER
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State | MA
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Zip | 01606-2714
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Country | US
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Telephone | 508-368-5532
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Fax | 508-721-9106
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 208928
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License Number State | MA
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