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General NPI Number Information
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NPI Number | 1740940519
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Entity Type | Individual
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Provider Name | ELENI MAGDALENA LOPES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 44 BIRCH ST STE 200
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City | DERRY
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State | NH
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Zip | 03038-1591
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Country | US
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Telephone | 603-421-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 83 MAIN ST APT 4
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City | AMESBURY
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State | MA
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Zip | 01913-2835
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Country | US
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Telephone | 207-272-0436
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 086139-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 086139-21
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License Number State | NH
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