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General NPI Number Information
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NPI Number | 1508772054
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Entity Type | Organization
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Legal Business Name | KING RECOVERY MEDICINE, PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 39 BREK DR
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City | MERRIMACK
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State | NH
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Zip | 03054-4506
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Country | US
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Telephone | 978-846-2975
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Fax | 978-846-2975
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Provider Business Mailing Address
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Address Line | 923 ELM ST UNIT 160
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City | MANCHESTER
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State | NH
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Zip | 03101-2003
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Country | US
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Telephone | 978-846-2975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENEE KING
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Credential | APRN
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Telephone | 978-846-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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