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General NPI Number Information
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NPI Number | 1104204734
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Entity Type | Individual
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Provider Name | MARK ALDERSON CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 264 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-2551
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Country | US
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Telephone | 603-224-3368
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Fax | 603-228-7268
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Provider Business Mailing Address
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Address Line | 119 HENSMITH RD
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City | SALISBURY
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State | NH
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Zip | 03268-5307
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Country | US
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Telephone | 603-545-9723
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 026.0106567
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 064668-21
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2290561
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2290561
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 064668-23
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License Number State | NH
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