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General NPI Number Information
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NPI Number | 1356145148
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Entity Type | Organization
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Legal Business Name | MAINEHEALTH NEW HAMPSHIRE AMBULATORY CARE
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1976 WHITE MOUNTAIN HWY STE 105
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5147
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Country | US
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Telephone | 832-628-3420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223134
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City | PITTSBURGH
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State | PA
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Zip | 15251-2134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | ROBERT HUNTER
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Credential |
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Telephone | 207-662-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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