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General NPI Number Information
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NPI Number | 1346960986
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Entity Type | Individual
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Provider Name | WANDA JEAN HANDEL MSN, RN, ACCNS-AG
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-7031
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 COOKEVILLE RD
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City | CORINTH
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State | VT
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Zip | 05039-9558
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Country | US
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Telephone | 802-272-4996
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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 | 364SN0800X
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Taxonomy Name | Neuroscience Clinical Nurse Specialist
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License Number | 041194-21
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License Number State | NH
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