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General NPI Number Information
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NPI Number | 1073627329
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Entity Type | Organization
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Legal Business Name | NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 4 HAWTHORNE DR
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City | BEDFORD
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State | NH
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Zip | 03110-6912
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Country | US
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Telephone | 603-472-8888
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Fax | 603-472-9090
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Provider Business Mailing Address
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Address Line | 4 HAWTHORNE DR
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City | BEDFORD
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State | NH
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Zip | 03110-6912
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Country | US
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Telephone | 603-472-8888
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Fax | 603-472-9090
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TIFFANY WADDINGTON
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Credential |
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Telephone | 603-472-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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