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General NPI Number Information
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NPI Number | 1255306650
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Entity Type | Individual
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Provider Name | ANDREA JOY LEMIRE ST.ONGE ATC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5 PINKERTON ST
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City | DERRY
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State | NH
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Zip | 03038-1501
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Country | US
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Telephone | 603-437-5200
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Fax | 603-437-5244
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Provider Business Mailing Address
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Address Line | 146 MYRTLE ST #2
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City | MANCHESTER
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State | NH
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Zip | 03104-6025
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Country | US
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Telephone | 603-625-4380
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 156
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License Number State | NH
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