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General NPI Number Information
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NPI Number | 1073200770
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Entity Type | Organization
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Legal Business Name | ELLIOT HOSPITAL
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 1 ELLIOT WAY
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City | MANCHESTER
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State | NH
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Zip | 03103-3599
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Country | US
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Telephone | 603-663-5573
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Fax |
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Provider Business Mailing Address
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Address Line | 1070 HOLT AVE
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City | MANCHESTER
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State | NH
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Zip | 03109-5603
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Country | US
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Telephone | 603-663-5573
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | RICHARD MAXWELL
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Credential |
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Telephone | 603-663-5573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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