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General NPI Number Information
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NPI Number | 1740468222
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Entity Type | Individual
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Provider Name | STEPHANIE ROSE CARSON BSCN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 5 ROPE FERRY RD
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City | HANOVER
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State | NH
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Zip | 03755-1404
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Country | US
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Telephone | 603-646-9440
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Fax |
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Provider Business Mailing Address
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Address Line | 135 DRUM HELLER RD
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City | SHARON
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State | VT
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Zip | 05065-6650
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Country | US
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Telephone | 802-763-2061
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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 | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 044172-21
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License Number State | NH
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