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General NPI Number Information
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NPI Number | 1194396176
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Entity Type | Individual
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Provider Name | LYNN MARIE BEEDE
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Gender | Female
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 364 CATES HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-1565
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Country | US
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Telephone | 603-752-2343
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Fax | 603-752-4773
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Provider Business Mailing Address
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Address Line | PO BOX 416
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City | BERLIN
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State | NH
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Zip | 03570-0416
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Country | US
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Telephone | 603-752-2343
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Fax | 603-752-4773
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 059891-23
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License Number State | NH
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