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General NPI Number Information
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NPI Number | 1417501339
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Entity Type | Individual
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Provider Name | HEATHER M NEWELL
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 57 WEBSTER ST
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City | MANCHESTER
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State | NH
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Zip | 03104-2552
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Country | US
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Telephone | 603-622-6491
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ORCHARD HILL CIR
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City | BEDFORD
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State | NH
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Zip | 03110-6034
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Country | US
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Telephone | 603-714-9830
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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 | 040260-23
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License Number State | NH
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