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General NPI Number Information
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NPI Number | 1336393552
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Entity Type | Organization
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Legal Business Name | TERESA MARY CADORETTE, M.D., P.A.
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 45 MAIN ST SUITE 101
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City | PETERBOROUGH
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State | NH
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Zip | 03458-2433
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Country | US
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Telephone | 603-924-0804
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Fax |
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Provider Business Mailing Address
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Address Line | 45 MAIN ST SUITE 101
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City | PETERBOROUGH
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State | NH
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Zip | 03458-2433
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Country | US
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Telephone | 603-924-0804
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Fax | 603-924-0844
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERESA MARY CADORETTE
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Credential | M.D.
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Telephone | 603-924-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 9183
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License Number State | NH
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