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General NPI Number Information
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NPI Number | 1700881026
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Entity Type | Individual
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Provider Name | CYMANDE A BAXTER-ROGERS APRN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 240 S MAIN ST
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City | WOLFEBORO
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State | NH
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Zip | 03894-4455
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Country | US
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Telephone | 603-596-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 87 WASHINGTON ST
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City | CONWAY
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State | NH
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Zip | 03818-6093
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Country | US
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Telephone | 603-447-3347
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Fax | 603-444-0145
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 074752-23
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License Number State | NH
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