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General NPI Number Information
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NPI Number | 1104777606
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Entity Type | Individual
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Provider Name | PHILLIP JOSEPH CRUMRINE HIS
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Gender | Male
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 133 LOUDON RD UNIT 6
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City | CONCORD
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State | NH
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Zip | 03301-5611
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Country | US
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Telephone | 603-229-1768
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PINGREE HILL RD UNIT LEFT
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City | DERRY
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State | NH
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Zip | 03038-5309
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Country | US
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Telephone | 603-229-1768
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2096
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License Number State | NH
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