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General NPI Number Information
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NPI Number | 1427139468
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Entity Type | Individual
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Provider Name | JOHN JAMES JANEIRO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 17 RIVERSIDE ST SUITE 201
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City | NASHUA
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State | NH
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Zip | 03062-1304
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Country | US
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Telephone | 603-594-0800
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Fax | 603-879-9329
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Provider Business Mailing Address
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Address Line | 145 MOOAR HILL RD
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City | HOLLIS
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State | NH
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Zip | 03049-6243
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Country | US
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Telephone | 603-465-2140
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 7543
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License Number State | NH
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