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General NPI Number Information
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NPI Number | 1982889986
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Entity Type | Individual
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Provider Name | CHRISTEN M ANDERSON NP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 130 SECOND AVE
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City | WALTHAM
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State | MA
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Zip | 02451-1158
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Country | US
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Telephone | 781-434-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 132 DOVER ST
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City | MEDFORD
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State | MA
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Zip | 02155-2322
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Country | US
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Telephone | 781-866-2648
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 264611
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License Number State | MA
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