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General NPI Number Information
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NPI Number | 1891617593
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Entity Type | Organization
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Legal Business Name | PORT PRIMARY CARE & WELLNESS LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 31 GREEN ST STE 1C
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City | NEWBURYPORT
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State | MA
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Zip | 01950-2652
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Country | US
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Telephone | 978-270-1492
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WILDWOOD DR
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City | NEWBURYPORT
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State | MA
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Zip | 01950-4528
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/PRACTICE OWNER
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Name | SARA CASTANTINI
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Credential | FNP-BC
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Telephone | 978-270-1492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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