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General NPI Number Information
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NPI Number | 1053698985
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Entity Type | Organization
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Legal Business Name | DR NICK I FLEURY DMD PLLC
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 173 NH ROUTE 104 STE A
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City | MEREDITH
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State | NH
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Zip | 03253-5732
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Country | US
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Telephone | 603-515-4060
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Fax | 603-782-0868
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Provider Business Mailing Address
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Address Line | 178 DANIEL WEBSTER HWY
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City | MEREDITH
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State | NH
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Zip | 03253-5664
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Country | US
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Telephone | 603-515-4060
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. NICHOLAS I FLEURY
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Credential | DMD
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Telephone | 603-515-4060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3304
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License Number State | NH
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