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General NPI Number Information
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NPI Number | 1255895264
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Entity Type | Organization
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Legal Business Name | MAUREEN A. BOOTH, APRN, P.C.
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 41 HATCH CORNER RD
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City | MEREDITH
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State | NH
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Zip | 03253-5108
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Country | US
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Telephone | 802-353-0635
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Fax |
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Provider Business Mailing Address
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Address Line | 41 HATCH CORNER RD
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City | MEREDITH
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State | NH
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Zip | 03253-5108
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Country | US
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Telephone | 802-353-0635
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAUREN A. BOOTH
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Credential | APRN
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Telephone | 802-353-0635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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