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General NPI Number Information
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NPI Number | 1518002112
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Entity Type | Individual
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Provider Name | ANNE M DELUCA APRN
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 11 KIMBALL DR
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City | HOOKSETT
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State | NH
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Zip | 03106-2603
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Country | US
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Telephone | 603-663-1990
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Fax | 603-663-1989
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Provider Business Mailing Address
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Address Line | 11 KIMBALL DR
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City | HOOKSETT
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State | NH
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Zip | 03106-2603
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Country | US
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Telephone | 603-663-1990
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Fax | 603-663-1989
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 036744-23-05
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License Number State | NH
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