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General NPI Number Information
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NPI Number | 1093098196
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Entity Type | Individual
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Provider Name | NANCY LYNN THOMAS MSN,ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2011
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 HOSPITAL DR DIALYSIS UNIT
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City | ST JOHNSBURY
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State | VT
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Zip | 05819-9806
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Country | US
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Telephone | 603-653-3830
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP131097
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 101.0087558
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 038912-23
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License Number State | NH
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