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General NPI Number Information
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NPI Number | 1003637257
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Entity Type | Organization
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Legal Business Name | RHG OF NEW HAMPSHIRE PC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 22 KEEWAYDIN DR
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City | SALEM
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State | NH
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Zip | 03079-2839
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Country | US
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Telephone | 615-672-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BURTON HILLS BLVD STE 370
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City | NASHVILLE
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State | TN
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Zip | 37215-6287
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Country | US
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Telephone | 615-672-7122
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JANE HOLDEN
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Credential |
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Telephone | 615-672-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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