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General NPI Number Information
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NPI Number | 1134669450
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Entity Type | Organization
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Legal Business Name | PEER TECHNOLOGIES PLLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 378 STONEY BROOK ROAD
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City | SPRINGFIELD
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State | NH
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Zip | 03284
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Country | US
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Telephone | 425-957-1159
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 204
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City | HANOVER
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State | NH
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Zip | 03755-0204
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Country | US
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Telephone | 603-727-6647
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SOHAIL K MIRZA
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Credential | M.D., M.P.H.
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Telephone | 603-727-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 14258
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License Number State | NH
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