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General NPI Number Information
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NPI Number | 1851725048
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Entity Type | Individual
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Provider Name | EDUARDO CESAR PEREIRA N.P.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2013
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Last Update Date | 08/25/2013
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Provider Practice Location Address
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Address Line | 13 FIELDSTONE LN
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City | NATICK
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State | MA
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Zip | 01760-5560
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Country | US
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Telephone | 508-647-5923
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Fax |
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Provider Business Mailing Address
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Address Line | 155 SUMMER ST APT B3
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City | SOMERVILLE
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State | MA
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Zip | 02143-2631
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Country | US
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Telephone | 617-504-5518
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN2265003
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License Number State | MA
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