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General NPI Number Information
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NPI Number | 1932947793
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Entity Type | Individual
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Provider Name | MAURA KOHAN MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 480 PLEASANT ST # 300A
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City | WATERTOWN
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State | MA
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Zip | 02472-2463
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Country | US
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Telephone | 617-926-9000
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Fax | 617-926-7053
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Provider Business Mailing Address
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Address Line | 330 MOUNT AUBURN ST PARSONS 2
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City | CAMBRIDGE
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State | MA
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Zip | 02138-2463
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Country | US
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Telephone | 978-799-3670
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN10002358
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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 | APRN10002358
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License Number State | MA
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