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General NPI Number Information
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NPI Number | 1265799092
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Entity Type | Organization
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Legal Business Name | NASHUA AMBULATORY SURGICAL CENTER LLC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 15 RIVERSIDE DRIVE
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City | NASHUA
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State | NH
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Zip | 03062
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Country | US
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Telephone | 603-622-3670
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Fax | 603-626-9750
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Provider Business Mailing Address
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Address Line | 11 WASHINGTON PLACE
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City | BEDFORD
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State | NH
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Zip | 03110
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Country | US
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Telephone | 603-622-3670
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Fax | 603-626-9750
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Authorized Official
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Title or Position | COO
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Name | SUZANNA D MAJEWSKI
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Credential | COO
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Telephone | 603-622-3670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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