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General NPI Number Information
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NPI Number | 1467715193
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Entity Type | Organization
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Legal Business Name | WALK-IN CLINIC AT CLAREMONT
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 7 DUNNING ST
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City | CLAREMONT
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State | NH
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Zip | 03743-2005
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Country | US
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Telephone | 603-542-3549
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Fax | 609-542-3550
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Provider Business Mailing Address
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Address Line | 7 DUNNING ST
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City | CLAREMONT
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State | NH
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Zip | 03743-2005
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Country | US
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Telephone | 603-542-3549
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Fax | 609-542-3550
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Authorized Official
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Title or Position | OWNER
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Name | LAURIE MONTAGUE
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Credential | MD
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Telephone | 603-542-3549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 10813
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License Number State | NH
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