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General NPI Number Information
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NPI Number | 1144739566
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Entity Type | Individual
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Provider Name | KATHERINE MEAGHAN CHERNA KELLEHER RN, MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 145 HOLLIS ST
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City | MANCHESTER
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State | NH
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Zip | 03101-1235
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Country | US
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Telephone | 603-626-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 145 HOLLIS ST
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City | MANCHESTER
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State | NH
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Zip | 03101-1235
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Country | US
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Telephone | 603-626-9500
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 101.0132594
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95012957
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95200666
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 087929-23
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License Number State | NH
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