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General NPI Number Information
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NPI Number | 1144214461
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Entity Type | Individual
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Provider Name | ANDRE A D'HEMECOURT M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 2 PILLSBURY ST STE 100
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City | CONCORD
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State | NH
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Zip | 03301-3502
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Country | US
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Telephone | 603-228-1104
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Fax | 603-228-7061
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Provider Business Mailing Address
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Address Line | 2 PILLSBURY ST STE 100
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City | CONCORD
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State | NH
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Zip | 03301-3502
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Country | US
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Telephone | 603-228-1104
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Fax | 603-228-7061
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 6873
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 6873
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License Number State | NH
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