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General NPI Number Information
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NPI Number | 1124170808
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Entity Type | Organization
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Legal Business Name | GERIATRIC AND HOSPICE MEDICAL SERVICES
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 28 THE FLUME
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City | AMHERST
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State | NH
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Zip | 03031-1520
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Country | US
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Telephone | 281-358-7766
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Fax | 281-605-1451
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Provider Business Mailing Address
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Address Line | 28 THE FLUME
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City | AMHERST
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State | NH
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Zip | 03031-1520
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Country | US
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Telephone | 281-358-7766
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Fax | 281-605-1451
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Authorized Official
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Title or Position | OWNER
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Name | LAURA ASHLEY DEVRIES
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Credential | PA-C
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Telephone | 281-358-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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