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General NPI Number Information
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NPI Number | 1194750836
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Entity Type | Individual
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Provider Name | ERIC R NILER PHD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 660 CENTRAL AVE SUITE 201
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City | DOVER
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State | NH
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Zip | 03820-3491
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Country | US
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Telephone | 603-743-2223
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Fax | 603-749-3365
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Provider Business Mailing Address
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Address Line | 1 OLD DOVER RD SUITE ONE
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City | ROCHESTER
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State | NH
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Zip | 03867-3460
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Country | US
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Telephone | 603-335-2444
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Fax | 603-335-2226
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 609
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License Number State | NH
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