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General NPI Number Information
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NPI Number | 1558296368
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Entity Type | Organization
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Legal Business Name | SADIE M. IRVING, PLLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 67 WATER ST STE 108B
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City | LACONIA
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State | NH
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Zip | 03246-3300
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Country | US
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Telephone | 603-290-2657
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Fax | 603-696-6987
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Provider Business Mailing Address
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Address Line | 67 WATER ST STE 108B
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City | LACONIA
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State | NH
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Zip | 03246-3300
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Country | US
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Telephone | 603-290-2657
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Fax | 603-696-6987
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Authorized Official
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Title or Position | OWNER
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Name | SADIE IRVING
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Credential | APRN
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Telephone | 603-290-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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