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General NPI Number Information
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NPI Number | 1740860071
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Entity Type | Individual
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Provider Name | ZANDRA J REAGAN MS, NCSP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 122 NH ROUTE 12A UNIT 5
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City | LANGDON
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State | NH
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Zip | 03602-8263
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Country | US
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Telephone | 603-835-7102
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Fax |
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Provider Business Mailing Address
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Address Line | 89 CHARTIER LN
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City | ALSTEAD
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State | NH
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Zip | 03602-3628
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Country | US
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Telephone | 603-499-1181
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 69083
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License Number State | NH
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