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General NPI Number Information
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NPI Number | 1467904771
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NASHUA
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 10 COTTON RD # 1
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City | NASHUA
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State | NH
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Zip | 03063-1213
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Country | US
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Telephone | 603-598-1533
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Fax | 603-864-8315
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Provider Business Mailing Address
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Address Line | 10 COTTON RD # 1
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City | NASHUA
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State | NH
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Zip | 03063-1213
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Country | US
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Telephone | 603-598-1533
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Fax | 603-864-8315
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL LACHANCE
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Credential |
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Telephone | 603-689-2413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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