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General NPI Number Information
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NPI Number | 1477732808
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Entity Type | Organization
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Legal Business Name | RAYMOND T. KING, M.D.
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 39 SIMON ST STE 6
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-595-2300
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Fax | 603-889-1333
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Provider Business Mailing Address
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Address Line | 39 SIMON ST STE 6
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-595-2300
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Fax | 603-889-1333
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAYMOND T KING
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Credential | MD
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Telephone | 603-595-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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