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General NPI Number Information
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NPI Number | 1740242395
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Entity Type | Individual
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Provider Name | KATHY B PATCH MS CS ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 33 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-4004
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Country | US
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Telephone | 603-755-3096
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Fax |
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Provider Business Mailing Address
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Address Line | 590 OAK WOODS RD
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City | NORTH BERWICK
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State | ME
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Zip | 03906-5942
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Country | US
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Telephone | 603-498-7546
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0375452308
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License Number State | NH
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