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General NPI Number Information
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NPI Number | 1396997060
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Entity Type | Individual
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Provider Name | STEPHANIE B PRISCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR DH INTERNAL MEDICINE
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City | LEBANON
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State | NH
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Zip | 03756-1000
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Country | US
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Telephone | 603-653-9500
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Fax | 603-650-0915
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR DH INTERNAL MEDICINE
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City | LEBANON
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State | NH
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Zip | 03756-1000
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Country | US
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Telephone | 603-653-9500
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 25MA06539200
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License Number State | NJ
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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 | 16362
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License Number State | NH
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