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General NPI Number Information
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NPI Number | 1023738937
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Entity Type | Individual
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Provider Name | THOMAS RYAN BRESLIN APRN
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Gender | Male
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 14 KEEWAYDIN DR STE A
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City | SALEM
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State | NH
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Zip | 03079-2839
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Country | US
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Telephone | 800-930-5956
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Fax |
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Provider Business Mailing Address
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Address Line | 24 WALNUT AVE
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City | HAMPTON
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State | NH
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Zip | 03842-4220
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Country | US
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Telephone | 603-475-4523
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 073517-23
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License Number State | NH
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