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General NPI Number Information
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NPI Number | 1285457408
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Entity Type | Individual
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Provider Name | KRISTINE SMITH
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 377 LESLIE DR
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7500
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Country | US
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Telephone | 603-560-1161
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ALYCE DR
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City | NEWMARKET
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State | NH
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Zip | 03857-2169
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Country | US
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Telephone | 603-560-1161
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 064731-21
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License Number State | NH
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