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General NPI Number Information
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NPI Number | 1043765274
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Entity Type | Individual
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Provider Name | JENNIFER LOICHLE NP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 178 HAROLD L DOW HWY SUITE 9
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City | ELIOT
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State | ME
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Zip | 03903-2047
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Country | US
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Telephone | 207-598-4552
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Fax | 207-536-8191
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Provider Business Mailing Address
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Address Line | 178 HAROLD L DOW HWY SUITE 9
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City | ELIOT
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State | ME
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Zip | 03903-2047
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Country | US
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Telephone | 207-598-4552
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Fax | 207-536-2441
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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 | 074125-23
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License Number State | NH
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