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General NPI Number Information
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NPI Number | 1427108752
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Entity Type | Individual
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Provider Name | GLADI VLASCA PORSCHE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12 BALLARD ST
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City | DURHAM
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State | NH
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Zip | 03824-2308
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Country | US
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Telephone | 603-862-1530
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Fax | 603-862-4259
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Provider Business Mailing Address
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Address Line | 7 GRANGER DR
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City | LEE
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State | NH
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Zip | 03824-6550
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Country | US
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Telephone | 603-659-8387
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 6848
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License Number State | NH
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