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General NPI Number Information
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NPI Number | 1073206900
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Entity Type | Individual
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Provider Name | ELIZABETH MARCEAU FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 77 DANIEL WEBSTER HWY
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City | BELMONT
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State | NH
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Zip | 03220-3028
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Country | US
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Telephone | 603-737-0550
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Fax | 603-737-8331
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Provider Business Mailing Address
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Address Line | 360 US HIGHWAY 1 BYP UNIT 102
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7105
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Country | US
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Telephone | 603-410-6700
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Fax | 603-319-8303
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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 | 075845-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 075845-23
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License Number State | NH
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