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General NPI Number Information
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NPI Number | 1396462073
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Entity Type | Organization
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Legal Business Name | CLEARCHOICEMD, PLLC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 33 RAILROAD ST
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City | LINCOLN
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State | NH
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Zip | 03251-3200
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Country | US
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Telephone | 603-607-6040
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Fax | 603-745-7109
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Provider Business Mailing Address
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Address Line | 10 FERRY ST STE 302
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City | CONCORD
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State | NH
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Zip | 03301-5081
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Country | US
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Telephone | 603-526-4635
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Fax | 603-526-2151
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MARCUS J HAMPERS
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Credential | MD
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Telephone | 603-526-4635
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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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