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General NPI Number Information
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NPI Number | 1851565410
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Entity Type | Individual
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Provider Name | CHARLENE A. BUDRIUS I CNS
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Gender | Female
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 169 ELM ST
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City | WALTHAM
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State | MA
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Zip | 02453-5356
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Country | US
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Telephone | 781-894-8440
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Fax | 781-894-1202
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Provider Business Mailing Address
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Address Line | 9 ADDISON ST
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City | ARLINGTON
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State | MA
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Zip | 02476-8107
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Country | US
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Telephone | 781-643-4530
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 115701
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License Number State | MA
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