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General NPI Number Information
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NPI Number | 1447148671
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Entity Type | Individual
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Provider Name | SHAHEEN NICOLE GANEM PMHNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 70 BUTLER ST
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City | SALEM
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State | NH
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Zip | 03079-3974
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Country | US
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Telephone | 603-893-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 202 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079-3170
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Country | US
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Telephone | 272-268-5794
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN78942
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | EL33116
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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 | CNP251630
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License Number State | ME
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