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General NPI Number Information
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NPI Number | 1215305982
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Entity Type | Organization
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Legal Business Name | EVERCARE MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 52 STILES RD STE 110
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City | SALEM
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State | NH
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Zip | 03079-4807
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Country | US
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Telephone | 603-685-4609
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Fax | 603-824-6857
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Provider Business Mailing Address
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Address Line | 52 STILES RD STE 110
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City | SALEM
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State | NH
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Zip | 03079-4807
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Country | US
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Telephone | 603-685-4609
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Fax | 603-824-6857
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARIA HARALABATOS
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Credential |
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Telephone | 603-685-4609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 071406-23
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License Number State | NH
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