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General NPI Number Information
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NPI Number | 1467441923
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDICS NORTHEAST, P.C.
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 29 STILES RD SUITE 102
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City | SALEM
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State | NH
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Zip | 03079-2859
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Country | US
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Telephone | 603-898-2220
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Fax | 603-890-6378
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Provider Business Mailing Address
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Address Line | 29 STILES RD SUITE 102
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City | SALEM
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State | NH
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Zip | 03079-5802
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Country | US
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Telephone | 603-898-2220
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Fax | 603-890-6378
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JILL LEAHY
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Credential |
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Telephone | 978-327-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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