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General NPI Number Information
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NPI Number | 1073642435
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Entity Type | Individual
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Provider Name | JULIE ANN LAVOIE RD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8 PROSPECT ST
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City | NASHUA
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State | NH
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Zip | 03060-3925
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Country | US
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Telephone | 603-577-5760
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CLEARWATER LN
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City | MERRIMACK
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State | NH
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Zip | 03054-4059
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Country | US
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Telephone | 603-429-4296
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 75
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License Number State | NH
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