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General NPI Number Information
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NPI Number | 1225137268
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Entity Type | Organization
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Legal Business Name | CLAREMONT FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 DUNNING ST
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City | CLAREMONT
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State | NH
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Zip | 03743-2070
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Country | US
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Telephone | 603-542-2571
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Fax | 603-542-3550
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Provider Business Mailing Address
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Address Line | 5 DUNNING ST
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City | CLAREMONT
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State | NH
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Zip | 03743-2070
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Country | US
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Telephone | 603-542-2571
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Fax | 603-542-3550
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Authorized Official
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Title or Position | PARTNER
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Name | PAUL MATZKIN
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Credential | MD
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Telephone | 603-542-2571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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