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General NPI Number Information
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NPI Number | 1114266202
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Entity Type | Organization
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Legal Business Name | WENTWORTH-DOUGLASS HOSPITAL
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 789 CENTRAL AVENUE
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City | DOVER
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State | NH
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Zip | 03820
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Country | US
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Telephone | 603-742-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF FINANCE
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Name | JOEL DEGENAARS
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Credential |
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Telephone | 603-740-2806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 0093
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License Number State | NH
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