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General NPI Number Information
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NPI Number | 1467882175
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE AND KIDNEY PARTNERS PA
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 19 TYLER ST SUITE 203
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City | NASHUA
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State | NH
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Zip | 03060-2951
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Country | US
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Telephone | 603-582-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TYLER ST SUITE 203
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City | NASHUA
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State | NH
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Zip | 03060-2951
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Country | US
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Telephone | 603-582-5515
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RIETA SILANG
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Credential | MD
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Telephone | 603-880-3122
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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 | NH11289
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License Number State | NH
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