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General NPI Number Information
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NPI Number | 1922761238
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN HADEN F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 46 OBERY ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-2237
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Country | US
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Telephone | 508-830-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SACHEM DR
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City | SAGAMORE BEACH
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State | MA
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Zip | 02562-2720
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Country | US
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Telephone | 774-836-2623
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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 | 276839
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License Number State | MA
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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 | RN276839
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License Number State | MA
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