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General NPI Number Information
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NPI Number | 1972328474
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Entity Type | Individual
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Provider Name | ALEX JOSEPH JANCO FNP-C, APRN
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Gender | Male
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 300 1ST AVE
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City | BOSTON
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State | MA
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Zip | 02129-3109
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Country | US
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Telephone | 617-952-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 33 MONTVALE RD
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City | WOBURN
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State | MA
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Zip | 01801-3215
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Country | US
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Telephone | 860-309-3346
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16362
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 091369-21
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2350764
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2350764
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License Number State | MA
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