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NPI Code Detail

MEDICARE: CARIDANIA PACHECO

MEDICARE:   CARIDANIA  PACHECO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLN85374MA

General Provider Information

NPI Number : 1811825870
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARIDANIA PACHECO
Provider Business Mailing Address
First Line : 27 ALBION ST
Second Line :
City : SALEM
State : MA
Zip : 01970-1303
Country : US
Telephone Number : 978-944-1325
Fax Number :
Provider Business Practice Location Address
First Line : 27 ALBION ST
Second Line :
City : SALEM
State : MA
Zip : 01970-1303
Country : US
Telephone Number : 978-944-1325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ CARIDANIA PACHECO ” Practice Location

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