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General NPI Number Information
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NPI Number | 1447518485
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Entity Type | Organization
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Legal Business Name | ROSALYN J. KENNEY ARNP, PLLC
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 23 STILES RD SUITE 210
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City | SALEM
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State | NH
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Zip | 03079-2859
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Country | US
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Telephone | 603-890-5585
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Fax |
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Provider Business Mailing Address
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Address Line | 23 STILES RD SUITE 210
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City | SALEM
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State | NH
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Zip | 03079-2859
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Country | US
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Telephone | 603-890-5585
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CYNTHIA SOHL
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Credential |
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Telephone | 603-890-5585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 048928-23
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License Number State | NH
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