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General NPI Number Information
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NPI Number | 1275575219
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Entity Type | Individual
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Provider Name | BARBARA S CIVIELLO MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 789 CENTRAL AVENUE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-742-8787
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Fax | 603-740-2446
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Provider Business Mailing Address
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Address Line | 789 CENTRAL AVENUE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-742-8787
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Fax | 603-740-2446
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 12585
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 12585
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License Number State | NH
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