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General NPI Number Information
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NPI Number | 1962014134
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Entity Type | Individual
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Provider Name | MRS. JENNIFER MCGEEHAN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 11/08/2020
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Provider Practice Location Address
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Address Line | 35 INDUSTRIAL WAY
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City | ROCHESTER
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State | NH
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Zip | 03867-6202
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Country | US
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Telephone | 603-332-7334
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Fax |
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Provider Business Mailing Address
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Address Line | 117 MARKET ST
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City | MANCHESTER
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State | NH
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Zip | 03101-1933
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Country | US
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Telephone | 603-623-3558
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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