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General NPI Number Information
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NPI Number | 1922842780
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Entity Type | Individual
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Provider Name | CHRISTINA MARIA DAGOSTINO
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Gender | Female
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Dates
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Enumeration Date | 06/25/2024
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 235 WELLESLEY ST
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City | WESTON
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State | MA
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Zip | 02493-1571
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Country | US
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Telephone | 781-786-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 616 MAIN ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2129
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Country | US
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Telephone | 617-458-6679
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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 | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | RN2386344
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 092137-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2386344
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 092137-21
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License Number State | NH
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