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General NPI Number Information
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NPI Number | 1942172721
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Entity Type | Individual
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Provider Name | HANNAROSE BEAUDETTE FNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 15 TSIENNETO RD
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City | DERRY
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State | NH
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Zip | 03038-1559
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Country | US
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Telephone | 603-552-3309
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Fax | 603-965-4177
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Provider Business Mailing Address
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Address Line | 16 BROWN AVE
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City | PELHAM
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State | NH
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Zip | 03076-2138
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Country | US
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Telephone | 603-508-8229
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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 | 11481923
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2367832
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 114819-21
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNPNE10005103
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License Number State | MA
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