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General NPI Number Information
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NPI Number | 1295237527
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Entity Type | Individual
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Provider Name | ERIKA SHEILA GOGUEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 22 HUNT ST
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City | NASHUA
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State | NH
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Zip | 03060-4499
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Country | US
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Telephone | 603-765-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 77 DEERWOOD DR UNIT C
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City | NASHUA
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State | NH
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Zip | 03063-1263
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Country | US
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Telephone | 603-765-3484
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1348
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA6466
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License Number State | MA
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