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General NPI Number Information
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NPI Number | 1659984581
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH GAUVIN FNP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2020
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 23 STILES RD
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City | SALEM
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State | NH
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Zip | 03079-2846
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Country | US
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Telephone | 603-386-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 23 STILES RD
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City | SALEM
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State | NH
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Zip | 03079-2846
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Country | US
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Telephone | 774-766-7651
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 079041-23
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License Number State | NH
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