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General NPI Number Information
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NPI Number | 1053533737
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Entity Type | Individual
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Provider Name | CATHERINE M FONTAINE ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-4026
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Country | US
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Telephone | 603-223-9941
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Fax | 603-223-9962
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Provider Business Mailing Address
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Address Line | 14 GLENWOOD DR
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City | GOFFSTOWN
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State | NH
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Zip | 03045-2200
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 015716-23-08
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License Number State | NH
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