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General NPI Number Information
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NPI Number | 1992380307
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Entity Type | Organization
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Legal Business Name | CAITRIN SALVUCCI NP
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 56 CHESTNUT HILL AVE
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City | BRIGHTON
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State | MA
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Zip | 02135-3398
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Country | US
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Telephone | 617-299-9889
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Fax | 781-558-9191
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Provider Business Mailing Address
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Address Line | 56 CHESTNUT HILL AVE STE 104A
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City | BRIGHTON
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State | MA
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Zip | 02135-3398
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Country | US
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Telephone | 617-299-9889
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Fax | 781-558-9191
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Authorized Official
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Title or Position | OWNER
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Name | CAITRIN SALVUCCI
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Credential | NP
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Telephone | 617-299-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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