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General NPI Number Information
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NPI Number | 1083156301
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Entity Type | Organization
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Legal Business Name | FORREST MEDICAL CONSULTING SERVICES, PLLC
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 171 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-2547
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Country | US
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Telephone | 603-848-1540
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Fax | 603-228-3503
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Provider Business Mailing Address
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Address Line | 171 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-2547
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Country | US
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Telephone | 603-848-1540
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Fax | 603-228-3503
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW FORREST
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Credential | MD
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Telephone | 603-848-1540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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