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NPI 1205185519

NPI 1205185519 : BARBARA AHLGREN : CONCORD, NH

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General NPI Number Information
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    NPI Number           |    1205185519
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA AHLGREN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2012
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    Last Update Date     |    08/31/2012
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Provider Practice Location Address
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    Address Line         |    200 PLEASANT ST. 
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    City                 |    CONCORD
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    State                |    NH
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    Zip                  |    03301-2599
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    Country              |    US
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    Telephone            |    800-678-1333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    529 UNION ST. 
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    City                 |    MANCHESTER
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    State                |    NH
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    Zip                  |    03104
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    Country              |    US
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    Telephone            |    603-641-6006
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    925
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    License Number State |    NH
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