Starting Line Wellness, Llc | |
50 W Main St Hopkinton MA 01748-1672 | |
(508) 435-1250 | |
(508) 435-2213 |
Full Name | Starting Line Wellness, Llc |
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Speciality | Nurse Practitioner |
Location | 50 W Main St, Hopkinton, Massachusetts |
Authorized Official Name and Position | Bradford Rolph (MEMBER/MANAGER) |
Authorized Official Contact | 5084351250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Starting Line Wellness, Llc 50 W Main St Hopkinton MA 01748-1672 Ph: () - | Starting Line Wellness, Llc 50 W Main St Hopkinton MA 01748-1672 Ph: (508) 435-1250 |
NPI Number | 1003373069 |
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Provider Enumeration Date | 02/26/2019 |
Last Update Date | 02/26/2019 |
Medicare PECOS PAC ID | 2961744354 |
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Medicare Enrollment ID | O20190506000806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003373069 | NPI | - | NPPES |
Provider Name | Robin Bromberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528548609 PECOS PAC ID: 5193614790 Enrollment ID: I20040312000024 |
Provider Name | Terry A Davies |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174596506 PECOS PAC ID: 9537173638 Enrollment ID: I20060127000416 |
Provider Name | Mary H Lukason |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023276227 PECOS PAC ID: 9739184722 Enrollment ID: I20080618000621 |
Provider Name | Patricia A Flanagan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891937371 PECOS PAC ID: 7719029933 Enrollment ID: I20100126000219 |
Provider Name | Marielle Pitts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518215490 PECOS PAC ID: 0840441879 Enrollment ID: I20121121000234 |
Provider Name | Lauren K Oshea |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265859672 PECOS PAC ID: 3274766985 Enrollment ID: I20140505001160 |
Provider Name | Kristen A Lipresti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629495379 PECOS PAC ID: 6002039237 Enrollment ID: I20141011000010 |
Provider Name | Karen Leeds |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225477813 PECOS PAC ID: 6406078609 Enrollment ID: I20141103001667 |
Provider Name | Ann Lynch |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891102083 PECOS PAC ID: 5193048148 Enrollment ID: I20141223000892 |
Provider Name | Gabriel C Belosevic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972861607 PECOS PAC ID: 9436479045 Enrollment ID: I20150522000065 |
Provider Name | Kristy Poulliot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689183014 PECOS PAC ID: 2466710371 Enrollment ID: I20190603000326 |
Provider Name | Stacey Schmidt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336321975 PECOS PAC ID: 7719313345 Enrollment ID: I20200130001101 |
Provider Name | Christiana Dennis-fallah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265073035 PECOS PAC ID: 3971934076 Enrollment ID: I20200505001249 |
Provider Name | Catherine Cushman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275187825 PECOS PAC ID: 5597196295 Enrollment ID: I20200513001711 |
Provider Name | Kara Anne Lapierre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023509973 PECOS PAC ID: 7719372481 Enrollment ID: I20220315002264 |
Provider Name | Helen Hardy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417623463 PECOS PAC ID: 9032597687 Enrollment ID: I20220609002610 |
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