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General NPI Number Information
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NPI Number | 1205047032
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL HEALTH SERVICES OF PORTSMOUTH REGIONAL HOSPITAL, LLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 25 NEW HAMPSHIRE AVE SUITE 105
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2841
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Country | US
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Telephone | 603-430-9675
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Fax | 603-334-6088
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Provider Business Mailing Address
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Address Line | 25 NEW HAMPSHIRE AVE SUITE 105
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2841
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Country | US
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Telephone | 603-430-9675
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Fax | 603-334-6088
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Authorized Official
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Title or Position | MANAGER
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Name | MR. WILLIAM DOOLEY
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Credential | PT
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Telephone | 603-430-9675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State | NH
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