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General NPI Number Information
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NPI Number | 1255631248
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Entity Type | Individual
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Provider Name | HALARY PATCH
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 6 TSIENNETO RD STE 100
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City | DERRY
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State | NH
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Zip | 03038
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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 | 6 BUTTRICK RD STE 102
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City | LONDONDERRY
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State | NH
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Zip | 03053-3417
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1134945
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0101127-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 055535-21
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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 | RN267289
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5019108
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | GAA-NP001936
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61478090
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 299068
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License Number State | AZ
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