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General NPI Number Information
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NPI Number | 1689561896
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Entity Type | Individual
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Provider Name | DEIRDRE NELSON
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 136 HARVEY RD
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City | LONDONDERRY
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State | NH
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Zip | 03053
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Country | US
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Telephone | 603-854-8157
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Fax |
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Provider Business Mailing Address
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Address Line | 27 MAIN ST
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City | ALLENSTOWN
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State | NH
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Zip | 03275-2105
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3951
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License Number State | NH
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