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General NPI Number Information
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NPI Number | 1104153535
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Entity Type | Organization
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Legal Business Name | SPEARE MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 103 BOULDER POINT DRIVE
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City | PLYMOUTH
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State | NH
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Zip | 03264-3168
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Country | US
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Telephone | 603-536-1284
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Fax | 603-536-3136
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Provider Business Mailing Address
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Address Line | 16 HOSPITAL RD
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City | PLYMOUTH
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State | NH
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Zip | 03264-1126
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Country | US
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Telephone | 603-238-2204
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Fax | 603-536-2034
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MICHELLE L MCEWEN
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Credential |
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Telephone | 603-536-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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