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General NPI Number Information
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NPI Number | 1043400732
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Entity Type | Individual
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Provider Name | JUDY LINDA GARIEPY RN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2007
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Last Update Date | 07/28/2007
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Provider Practice Location Address
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Address Line | 718 SMYTH RD
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City | MANCHESTER
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State | NH
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Zip | 03104-7007
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Country | US
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Telephone | 603-624-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 366 OLD COUNTY RD
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City | HAMPDEN
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State | ME
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Zip | 04444-1912
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Country | US
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Telephone | 207-852-3776
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | R038727
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License Number State | ME
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