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General NPI Number Information
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NPI Number | 1447292099
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Entity Type | Individual
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Provider Name | KATHLEEN A HAUGHTON FNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 655 MAIN ST STE 2
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City | BENNINGTON
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State | VT
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Zip | 05201-2871
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Country | US
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Telephone | 802-448-5105
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291943 525 ROYAL PARKWAY
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City | NASHVILLE
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State | TN
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Zip | 37229-1914
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Country | US
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Telephone | 833-953-0829
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Fax | 615-237-1434
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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 | 188094
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License Number State | MA
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