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General NPI Number Information
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NPI Number | 1205142924
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Entity Type | Individual
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Provider Name | KEELY FITZGERALD HANSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 50 MICHELS WAY UNIT 102
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City | LONDONDERRY
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State | NH
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Zip | 03053-3499
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Country | US
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Telephone | 603-537-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 14B TSIENNETO RD
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City | DERRY
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State | NH
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Zip | 03038-1560
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Country | US
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Telephone | 603-537-1300
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3051
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License Number State | NH
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