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General NPI Number Information
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NPI Number | 1265278337
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Entity Type | Individual
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Provider Name | JACOB PLANGE
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Gender | Male
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Dates
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Enumeration Date | 07/08/2024
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 60 ADELAIDE ST
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City | HUDSON
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State | NH
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Zip | 03051-4357
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Country | US
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Telephone | 781-775-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 60 ADELAIDE ST
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City | HUDSON
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State | NH
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Zip | 03051-4357
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Country | US
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Telephone | 781-775-0302
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN2301226
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F12250206
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License Number State | MA
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