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General NPI Number Information
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NPI Number | 1225118029
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Entity Type | Individual
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Provider Name | NANCY ANNE RUGO ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 81 HALL STREET
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City | CONCORD
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State | NH
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Zip | 03301-2547
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Country | US
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Telephone | 603-228-7600
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Fax | 603-228-7320
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Provider Business Mailing Address
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Address Line | 8945 LINDANTE DR
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City | WHITTIER
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State | CA
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Zip | 90603-1023
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Country | US
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Telephone | 508-641-5639
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 050575-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 050575-23-05
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 050575-23-04
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95005527
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95108536
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License Number State | CA
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