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General NPI Number Information
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NPI Number | 1164547279
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Entity Type | Individual
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Provider Name | ANDREA MAUPIN HACKER RPT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8 PROSPECT STREET
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City | NASHUA
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State | NH
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Zip | 03061-2014
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Country | US
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Telephone | 603-577-2887
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Fax |
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Provider Business Mailing Address
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Address Line | 239 DEPOT ROAD
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City | HOLLIS
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State | NH
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Zip | 03049
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Country | US
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Telephone | 603-465-7690
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0409
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License Number State | NH
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