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General NPI Number Information
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NPI Number | 1093000648
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Entity Type | Individual
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Provider Name | KATHLEEN ANNE GUILMAIN APRN GNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2011
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Last Update Date | 08/31/2019
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Provider Practice Location Address
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Address Line | 299 COUNTRY LAND DR
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City | NORTH HAVERHILL
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State | NH
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Zip | 03774-5812
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Country | US
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Telephone | 603-747-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 3086 GLOVER ST
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City | GLOVER
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State | VT
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Zip | 05839-9701
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Country | US
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Telephone | 802-525-6600
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Fax | 802-525-6952
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 101.0134284
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 056501-23
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License Number State | NH
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