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General NPI Number Information
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NPI Number | 1881233203
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Entity Type | Individual
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Provider Name | JENNIFER A KANIA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1500 BOSTON PROVIDENCE TPKE STE 20
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City | NORWOOD
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State | MA
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Zip | 02062-4649
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Country | US
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Telephone | 508-206-8578
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Fax | 866-470-6528
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Provider Business Mailing Address
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Address Line | 52 REDLANDS RD APT 2
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1507
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Country | US
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Telephone | 508-206-8578
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2275084
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License Number State | MA
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