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General NPI Number Information
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NPI Number | 1497380323
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Entity Type | Individual
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Provider Name | ALLAN JOHN MCQUARRIE III DMD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 505 W HOLLIS ST STE 202
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City | NASHUA
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State | NH
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Zip | 03062-1387
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Country | US
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Telephone | 603-882-9881
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Fax |
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Provider Business Mailing Address
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Address Line | 61 LAKE SHORE RD
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City | SALEM
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State | NH
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Zip | 03079-1975
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Country | US
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Telephone | 603-401-6429
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9951
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 107122
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 04814
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1859704
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License Number State | MA
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