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General NPI Number Information
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NPI Number | 1114806528
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Entity Type | Individual
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Provider Name | JOCELYN DEMBKOSKI
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Gender |
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 15 SILVER BROOK RD
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City | SALEM
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State | NH
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Zip | 03079-4070
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Country | US
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Telephone | 603-818-6857
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Fax |
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Provider Business Mailing Address
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Address Line | 15 SILVER BROOK RD
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City | SALEM
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State | NH
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Zip | 03079-4070
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Country | US
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Telephone | 603-818-6857
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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 | 080885-23
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License Number State | NH
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