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General NPI Number Information
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NPI Number | 1467190363
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Entity Type | Individual
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Provider Name | ALEXANDER E LAMPHEAR
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Gender | Male
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 05/22/2022
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Provider Practice Location Address
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Address Line | 254 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-2551
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Country | US
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Telephone | 603-504-5798
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Fax |
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Provider Business Mailing Address
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Address Line | 670 HEVEY ST UNIT 1
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City | MANCHESTER
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State | NH
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Zip | 03102-3116
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Country | US
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Telephone | 603-504-5798
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4363
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License Number State | NH
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