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General NPI Number Information
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NPI Number | 1588910129
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Entity Type | Individual
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Provider Name | LISA KATHRYN ROSEBERRY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 408 LAFAYETTE RD
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City | HAMPTON
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State | NH
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Zip | 03842-2222
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Country | US
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Telephone | 603-601-3989
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Fax | 603-601-3989
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Provider Business Mailing Address
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Address Line | 408 LAFAYETTE RD
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City | HAMPTON
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State | NH
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Zip | 03842-2222
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Country | US
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Telephone | 603-601-3989
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Fax | 603-601-3989
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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 | RN204517
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 051227-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 051227-23
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License Number State | NH
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