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General NPI Number Information
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NPI Number | 1891232401
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Entity Type | Individual
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Provider Name | ERIN STORM
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Gender | Female
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Dates
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Enumeration Date | 01/21/2017
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 7 ALLEN ST
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City | HANOVER
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State | NH
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Zip | 03755-2065
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Country | US
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Telephone | 603-738-1164
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 7 ALLEN ST
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City | HANOVER
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State | NH
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Zip | 03755-2065
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Country | US
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Telephone | 603-738-1164
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 020538
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1965
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License Number State | NH
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