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General NPI Number Information
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NPI Number | 1497136915
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Entity Type | Organization
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Legal Business Name | AH GL BARRINGTON PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 31 MAIN ST
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City | PLAISTOW
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State | NH
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Zip | 03865-3002
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Country | US
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Telephone | 603-664-0100
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Fax | 603-664-0101
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Provider Business Mailing Address
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Address Line | 944 CALEF HWY
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City | BARRINGTON
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State | NH
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Zip | 03825-7244
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Country | US
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Telephone | 603-664-0100
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Fax | 603-664-0101
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Authorized Official
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Title or Position | OWNER/MD
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Name | ASTEGHIK HACOBIAN
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Credential | MD
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Telephone | 603-664-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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