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General NPI Number Information
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NPI Number | 1316350275
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Entity Type | Organization
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Legal Business Name | ORCHARD SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 16 KEEWAYDIN DR
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City | SALEM
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State | NH
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Zip | 03079-2839
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Country | US
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Telephone | 603-401-6466
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Fax |
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Provider Business Mailing Address
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Address Line | 16 KEEWAYDIN DR
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City | SALEM
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State | NH
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Zip | 03079-2839
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Country | US
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Telephone | 603-401-6466
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CATHY DENTREMONT
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Credential | R.N.
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Telephone | 603-401-6466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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