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General NPI Number Information
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NPI Number | 1316302763
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Entity Type | Individual
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Provider Name | TARA JEAN KENNEY APRN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 25 OLD DOVER RD
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City | ROCHESTER
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State | NH
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Zip | 03867-3464
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Country | US
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Telephone | 603-516-9300
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Fax | 603-335-9278
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Provider Business Mailing Address
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Address Line | 25 OLD DOVER RD
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City | ROCHESTER
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State | NH
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Zip | 03867-3464
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Country | US
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Telephone | 603-516-9300
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Fax | 603-335-9278
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 07282123
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License Number State | NH
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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 | 072821-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 072821-23
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License Number State | NH
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