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General NPI Number Information
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NPI Number | 1003791708
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Entity Type | Individual
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Provider Name | PRISCILLA HEARD FNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 738 HOOKSETT RD
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City | MANCHESTER
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State | NH
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Zip | 03104-2617
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Country | US
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Telephone | 603-384-3900
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Fax | 603-384-3912
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Provider Business Mailing Address
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Address Line | 360 US HIGHWAY 1 BYP UNIT 102
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7105
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Country | US
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Telephone | 603-319-4490
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 115258-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 115258-23
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License Number State | NH
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