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General NPI Number Information
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NPI Number | 1437292554
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Entity Type | Organization
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Legal Business Name | NH ENDODONTICS PLLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 LOUDON RD STE 6
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City | CONCORD
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State | NH
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Zip | 03301-5321
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Country | US
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Telephone | 603-224-5553
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Fax | 603-224-6890
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Provider Business Mailing Address
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Address Line | 6 LOUDON RD STE 6
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City | CONCORD
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State | NH
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Zip | 03301-5321
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Country | US
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Telephone | 603-224-5553
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Fax | 603-224-6890
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS H MOLL
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Credential | DMD
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Telephone | 603-224-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2667
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License Number State | NH
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