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General NPI Number Information
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NPI Number | 1407802515
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Entity Type | Individual
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Provider Name | JENNIFER J. NELSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 19 LEVESQUE DR SUITE 2
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City | ELIOT
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State | ME
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Zip | 03903-2079
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Country | US
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Telephone | 207-451-9600
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Fax | 207-451-9603
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Provider Business Mailing Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-740-4478
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Fax | 603-740-2244
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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 | 0355392303
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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 |
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License Number State | ME
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