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General NPI Number Information
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NPI Number | 1346461571
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Entity Type | Organization
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Legal Business Name | HANOVER FAMILY HEALTH & URGENT CARE PC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1399 WASHINGTON ST
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City | HANOVER
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State | MA
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Zip | 02339
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Country | US
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Telephone | 781-829-0895
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Fax | 781-829-9117
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Provider Business Mailing Address
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Address Line | 1399 WASHINGTON ST
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City | HANOVER
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State | MA
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Zip | 02339
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Country | US
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Telephone | 781-829-1000
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Fax | 781-829-9117
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Authorized Official
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Title or Position | MEDICAL DOCTOR - OWNER
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Name | DR. SURENDER SINGH
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Credential | MD
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Telephone | 781-829-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53103
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License Number State | MA
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