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General NPI Number Information
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NPI Number | 1053471813
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Entity Type | Organization
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Legal Business Name | WOMENS MEDICAL ASSOCIATES OF SOUTHERN NH
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 166 KINSLEY ST SUITE 204
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City | NASHUA
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State | NH
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Zip | 03060-3676
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Country | US
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Telephone | 603-880-9200
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Fax | 603-880-6036
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Provider Business Mailing Address
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Address Line | 166 KINSLEY STREET SUITE 204
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City | NASHUA
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State | NH
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Zip | 03060
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Country | US
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Telephone | 603-880-9200
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Fax | 603-880-6036
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Authorized Official
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Title or Position | OWNER
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Name | SYLVIA WAIND HORSLEY
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Credential | MD
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Telephone | 603-880-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 7522
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License Number State | NH
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