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General NPI Number Information
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NPI Number | 1033487582
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Entity Type | Organization
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Legal Business Name | LITTLETON HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 12 YEATON RD DR. DANIEL O'NEILL
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City | PLYMOUTH
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State | NH
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Zip | 03264-3457
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Country | US
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Telephone | 603-536-2270
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32 PROCLAIM, INC.
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City | ANDOVER
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State | NH
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Zip | 03216-0032
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Country | US
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Telephone | 603-735-6060
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Fax | 603-735-6070
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Authorized Official
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Title or Position | CFO
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Name | NICHOLAS BRACCINO
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Credential |
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Telephone | 603-444-9504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 02790
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License Number State | NH
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