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General NPI Number Information
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NPI Number | 1487706321
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Entity Type | Individual
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Provider Name | ELIZABETH BULLARD MORSE FNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 ROPE FERRY RD
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City | HANOVER
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State | NH
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Zip | 03755-1404
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Country | US
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Telephone | 603-646-9400
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Fax | 603-646-9450
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Provider Business Mailing Address
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Address Line | 82 LEBANON ST
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City | HANOVER
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State | NH
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Zip | 03755-2510
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Country | US
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Telephone | 603-643-3226
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 026397-23-03
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License Number State | NH
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