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General NPI Number Information
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NPI Number | 1245123991
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Entity Type | Individual
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Provider Name | REBECCA JOHNSTON APRN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 115 OLD ANDOVER RD
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City | HEBRON
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State | CT
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Zip | 06248-1366
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Country | US
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Telephone | 860-682-3897
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 114214-23
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License Number State | NH
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