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General NPI Number Information
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NPI Number | 1386680593
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Entity Type | Organization
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Legal Business Name | ANDROSCOGGIN VALLEY HOSPITAL, INC.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 59 PAGE HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-3542
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Country | US
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Telephone | 603-326-5827
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Fax | 603-326-5832
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Provider Business Mailing Address
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Address Line | 59 PAGE HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-3542
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Country | US
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Telephone | 603-326-5827
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Fax | 603-326-5832
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Authorized Official
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Title or Position | VP OF COMPLIANCE AND RISK MANAGMENT
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Name | MS. SUZANNE L LANDRY
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Credential |
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Telephone | 603-326-5608
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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 | 00050
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #6
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #9
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 00050
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License Number State | NH
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Taxonomy #10
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 00050
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License Number State | NH
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