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General NPI Number Information
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NPI Number | 1760026504
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Entity Type | Individual
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Provider Name | TRACY LYNN HAWSE PA LLC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 66 PROSPECT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3506
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Country | US
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Telephone | 603-270-9217
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Fax | 603-232-1376
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Provider Business Mailing Address
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Address Line | 20 BOW ST
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City | CONCORD
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State | NH
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Zip | 03301-2701
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Country | US
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Telephone | 603-270-9217
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Fax | 603-232-1376
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101-0138767
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 111807-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95013954
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11004875
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License Number State | FL
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