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General NPI Number Information
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NPI Number | 1417093675
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Entity Type | Individual
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Provider Name | LIAM HAVERAN
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 90 SWIFTWATER RD
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City | WOODSVILLE
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State | NH
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Zip | 03785-1421
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Country | US
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Telephone | 603-747-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 81 DEER CREEK XING
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City | DURHAM
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State | ME
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Zip | 04222-6220
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Country | US
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Telephone | 508-579-0520
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34438
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 222680
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | DO4019
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License Number State | ME
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