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General NPI Number Information
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NPI Number | 1982413241
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Entity Type | Individual
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Provider Name | ALICIA MADDEN RN
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 125 HARTWELL AVE
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City | LEXINGTON
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State | MA
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Zip | 02421-3100
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Country | US
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Telephone | 781-861-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 21 FARRINGTON ST
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City | ARLINGTON
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State | MA
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Zip | 02474-1231
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Country | US
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Telephone |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN2327671
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License Number State | MA
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