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NPI 1952031114

NPI 1952031114 : KARA LUCENTI : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1952031114
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    Entity Type          |    Individual 
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    Provider Name        |    KARA LUCENTI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2022
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    Last Update Date     |    07/06/2025
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Provider Practice Location Address
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    Address Line         |    55 FRUIT ST 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02114-2621
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    Country              |    US
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    Telephone            |    617-726-3030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1909 17TH ST NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20009-6234
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    Country              |    US
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    Telephone            |    847-513-3900
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    RN10025452
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    041501657
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    License Number State |    IL
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