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General NPI Number Information
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NPI Number | 1255445516
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Entity Type | Individual
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Provider Name | WALTER ARNOLD HOERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 200 GRIFFIN RD STE 12A
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7145
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Country | US
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Telephone | 603-692-4018
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Fax | 833-944-2270
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Provider Business Mailing Address
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Address Line | 200 GRIFFIN RD STE 12A
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7145
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Country | US
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Telephone | 603-457-7040
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Fax | 603-550-5244
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 7874
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License Number State | NH
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