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General NPI Number Information
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NPI Number | 1073727665
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Entity Type | Organization
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Legal Business Name | DARTMOUTH HITCHCOCK PSYCHIATRIC ASSOCIATES
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DRIVE
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DRIVE
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-6176
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Fax |
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Authorized Official
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Title or Position | PFS MANAGER
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Name | MR. GERALD BEST
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Credential |
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Telephone | 603-650-6176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State | NH
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