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General NPI Number Information
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NPI Number | 1942661558
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Entity Type | Individual
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Provider Name | DEBORAH S CHARLES NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 5 CLARK WAY
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City | SOMERSWORTH
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State | NH
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Zip | 03878-4401
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Country | US
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Telephone | 603-241-8820
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CLARK WAY
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City | SOMERSWORTH
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State | NH
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Zip | 03878-4401
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Country | US
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Telephone | 603-241-8820
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 043501
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License Number State | ME
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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 | 078104-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | CNP161099
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License Number State | ME
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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 | CNP161099
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 078104-23
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License Number State | NH
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