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General NPI Number Information
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NPI Number | 1134118318
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Entity Type | Organization
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Legal Business Name | PARKLAND PHYSICIAN SERVICES INC
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 44 BIRCH ST SUITE 200
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City | DERRY
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State | NH
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Zip | 03038-2752
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Country | US
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Telephone | 603-421-2432
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Fax | 603-421-2435
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Provider Business Mailing Address
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Address Line | 44 BIRCH ST SUITE 200
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City | DERRY
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State | NH
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Zip | 03038-2752
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Country | US
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Telephone | 603-421-2432
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Fax | 603-421-2435
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KENNETH WASHINGTON
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Credential |
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Telephone | 703-650-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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