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General NPI Number Information
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NPI Number | 1285786061
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Entity Type | Organization
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Legal Business Name | STRAFFORD HEALTH ALLIANCE
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 200 ROUTE 108 SUITE 3
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1119
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Country | US
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Telephone | 603-742-7492
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Fax | 603-742-6762
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Provider Business Mailing Address
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Address Line | 200 ROUTE 108 SUITE 3
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1119
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Country | US
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Telephone | 603-742-7492
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Fax | 603-742-6762
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. BETH BEAUDIN
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Credential |
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Telephone | 603-742-6673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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