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General NPI Number Information
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NPI Number | 1891807004
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Entity Type | Individual
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Provider Name | GALE A JOHNSEN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 7 GREENWOOD AVE
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City | CONWAY
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State | NH
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Zip | 03818-6130
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Country | US
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Telephone | 603-447-3500
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Fax | 603-447-5568
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Provider Business Mailing Address
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Address Line | 68 BARIBEAU DRIVE
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City | BRUNSWICK
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State | ME
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Zip | 04011
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Country | US
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Telephone | 207-373-6950
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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 | 81350
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 043300-2303
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License Number State | NH
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