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General NPI Number Information
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NPI Number | 1184449530
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Entity Type | Individual
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Provider Name | KATIE PESSIN APRN
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 382 BUFFALO RD
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City | WENTWORTH
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State | NH
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Zip | 03282-3409
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Country | US
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Telephone | 203-313-4732
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Fax |
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Provider Business Mailing Address
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Address Line | 600 SAINT JOHNSBURY RD
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City | LITTLETON
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State | NH
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Zip | 03561-3442
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Country | US
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Telephone | 603-257-7500
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 077252-23
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License Number State | NH
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