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General NPI Number Information
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NPI Number | 1164503223
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Entity Type | Organization
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Legal Business Name | UPPER VALLEY ANESTHESIOLOGY SERVICES, PLLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 10 ALICE PECK DAY DR ALICE PECK DAY MEMORIAL HOSPITAL
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City | LEBANON
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State | NH
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Zip | 03766-2900
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Country | US
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Telephone | 603-448-7410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8002
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City | SALEM
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State | NH
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Zip | 03079-8002
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Country | US
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Telephone | 800-927-0002
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Fax | 603-890-0035
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA R WILLIAMS
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Credential |
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Telephone | 603-448-7480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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