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General NPI Number Information
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NPI Number | 1265782114
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Entity Type | Individual
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Provider Name | MARIAH MCHOSE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 25 N MAIN ST STE 1A
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City | LISBON
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State | NH
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Zip | 03585-6600
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Country | US
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Telephone | 802-588-0375
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Fax | 888-453-0809
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Provider Business Mailing Address
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Address Line | 249 PAINE RD
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City | EASTON
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State | NH
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Zip | 03580-5401
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Country | US
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Telephone | 603-616-7026
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 055115-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 055115-23
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License Number State | NH
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