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General NPI Number Information
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NPI Number | 1669859005
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Entity Type | Individual
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Provider Name | ANGELA PETERS APRN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 15 CONSTITUTION DR OFC 113
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City | BEDFORD
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State | NH
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Zip | 03110-6042
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Country | US
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Telephone | 603-718-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CONSTITUTION DR OFC 113
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City | BEDFORD
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State | NH
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Zip | 03110-6042
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Country | US
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Telephone | 603-718-3939
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 137242
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 086693-23
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License Number State | NH
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