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General NPI Number Information
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NPI Number | 1326180282
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Entity Type | Individual
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Provider Name | JAYNE E. SHUMWAY A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | CATHOLIC MEDICAL CENTER 100 MCGREGOR STREET D100
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City | MANCHESTER
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State | NH
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Zip | 03102
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Country | US
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Telephone | 603-663-6543
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Fax | 603-663-2084
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Provider Business Mailing Address
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Address Line | 14 COPP RD
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City | GILMANTON
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State | NH
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Zip | 03237-5462
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Country | US
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Telephone | 603-267-7646
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 043018-23-03
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License Number State | NH
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