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General NPI Number Information
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NPI Number | 1033947544
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Entity Type | Individual
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Provider Name | MADELINE MURRAY TELLER BSN-RN, CDCES
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Gender | Female
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR # 6M
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City | LEBANON
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State | NH
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Zip | 03756-1000
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Country | US
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Telephone | 603-653-9877
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Fax |
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Provider Business Mailing Address
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Address Line | 42 MAY ST
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City | ENFIELD
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State | NH
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Zip | 03748-3024
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Country | US
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Telephone |
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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 | 112804-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041533492
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 32300974
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License Number State | IL
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