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NPI 1437287893

NPI 1437287893 : LAWRENCE M . HOEPP, MD, PA : MANCHESTER, NH

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General NPI Number Information
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    NPI Number           |    1437287893
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAWRENCE M . HOEPP, MD, PA 
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Dates
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    Enumeration Date     |    02/28/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    184 TARRYTOWN RD 
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    City                 |    MANCHESTER
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    State                |    NH
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    Zip                  |    03103-2713
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    Country              |    US
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    Telephone            |    603-627-1102
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    Fax                  |    603-647-5524
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Provider Business Mailing Address
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    Address Line         |    184 TARRYTOWN RD 
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    City                 |    MANCHESTER
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    State                |    NH
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    Zip                  |    03103-2713
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    Country              |    US
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    Telephone            |    603-627-1102
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    Fax                  |    603-647-5524
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LAWRENCE MICHAEL HOEPP 
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    Credential           |    M.D.
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    Telephone            |    603-627-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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