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General NPI Number Information
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NPI Number | 1861365793
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Entity Type | Organization
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Legal Business Name | CAROLINE MAWANDA PC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 121 BRICK KILN RD STE 216
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City | CHELMSFORD
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State | MA
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Zip | 01824-3259
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Country | US
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Telephone | 617-938-9038
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Fax | 617-398-4942
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Provider Business Mailing Address
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Address Line | 121 BRICK KILN RD STE 216
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City | CHELMSFORD
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State | MA
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Zip | 01824-3259
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Country | US
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Telephone | 617-938-9038
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Fax | 617-398-4942
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Authorized Official
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Title or Position | OWNER
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Name | CAROLINE N MAWANDA
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Credential | NP
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Telephone | 617-938-9038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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