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NPI 1659338838

NPI 1659338838 : ERIKA SARAH GOLDSTEIN ARNP : KEENE, NH

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General NPI Number Information
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    NPI Number           |    1659338838
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA SARAH GOLDSTEIN ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/30/2006
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    Last Update Date     |    12/02/2014
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Provider Practice Location Address
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    Address Line         |    677 COURT ST 
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    City                 |    KEENE
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    State                |    NH
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    Zip                  |    03431-1702
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    Country              |    US
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    Telephone            |    603-357-3800
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    Fax                  |    603-355-8922
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Provider Business Mailing Address
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    Address Line         |    801 VT ROUTE 30 
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    City                 |    NEWFANE
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    State                |    VT
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    Zip                  |    05345-9656
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    Country              |    US
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    Telephone            |    802-365-7603
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    054600-23-03
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    License Number State |    NH
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