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General NPI Number Information
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NPI Number | 1255008702
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Entity Type | Organization
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Legal Business Name | OPEN ARMS WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 529 ROUTE 16
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City | OSSIPEE
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State | NH
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Zip | 03814
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Country | US
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Telephone | 207-974-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CINNAMON RIDGE RD
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1622
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Country | US
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Telephone | 207-974-6064
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAIGE WILDER
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Credential | APRN
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Telephone | 207-974-6064
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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 |
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License Number State |
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