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General NPI Number Information
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NPI Number | 1972074136
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Entity Type | Individual
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Provider Name | ALYSHIA MARIE CASELLA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 109 STATE ST. 5TH FL
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City | BOSTON
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State | MA
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Zip | 02109-2906
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Country | US
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Telephone | 617-505-1520
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Fax | 617-928-8401
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Provider Business Mailing Address
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Address Line | 109 STATE ST. 5TH FL
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City | BOSTON
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State | MA
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Zip | 02109-2906
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Country | US
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Telephone | 617-505-1520
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Fax | 617-928-8401
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2268629
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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 | 065328-23
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License Number State | NH
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