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General NPI Number Information
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NPI Number | 1396947172
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Entity Type | Organization
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Legal Business Name | RONALD H. WITKIN, MD
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 85 SPRING ST SUITE 404
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City | LACONIA
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State | NH
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Zip | 03246-3113
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Country | US
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Telephone | 603-524-9201
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Fax | 603-524-4338
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Provider Business Mailing Address
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Address Line | 85 SPRING ST SUITE 404
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City | LACONIA
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State | NH
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Zip | 03246-3113
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Country | US
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Telephone | 603-524-9201
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Fax | 603-524-4338
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. CATHERINE A. FOSTER
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Credential |
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Telephone | 603-524-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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