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General NPI Number Information
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NPI Number | 1174099493
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Entity Type | Individual
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Provider Name | SHARON PATRICIA GAMACHE RN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 01/19/2020
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Provider Practice Location Address
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Address Line | 164 OLD SPRINGFIELD RD
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City | CHARLESTOWN
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State | NH
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Zip | 03603-4504
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Country | US
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Telephone | 603-826-0840
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Fax | 603-826-0839
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Provider Business Mailing Address
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Address Line | 8 KAREN PL
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City | CLAREMONT
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State | NH
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Zip | 03743-4279
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Country | US
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Telephone | 603-953-5513
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Fax | 603-504-6573
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 037352-21
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License Number State | NH
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