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General NPI Number Information
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NPI Number | 1467502872
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Entity Type | Individual
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Provider Name | ALICE MARIE MILLSPAUGH APRN, BC, GNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 50 PHEASANT RD
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City | PETERBOROUGH
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State | NH
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Zip | 03458-2110
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Country | US
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Telephone | 603-924-7267
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Fax | 603-924-7885
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Provider Business Mailing Address
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Address Line | 50 PHEASANT RD
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City | PETERBOROUGH
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State | NH
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Zip | 03458-2110
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Country | US
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Telephone | 603-924-7267
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Fax | 603-924-7885
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 131614
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 032065-23-06
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340734-1
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License Number State | NY
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