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General NPI Number Information
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NPI Number | 1821217217
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Entity Type | Individual
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Provider Name | STEPHANIE BARBARA SORENSEN MS, ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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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 | 603-646-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 22 TRILLIUM LN. P O BOX 941
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City | GRANTHAM
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State | NH
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Zip | 03753-0941
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Country | US
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Telephone | 603-863-6465
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 032754-23-03
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License Number State | NH
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