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General NPI Number Information
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NPI Number | 1518009901
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTER, P.A.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1 OAK RIDGE RD B11
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City | WEST LEBANON
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State | NH
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Zip | 03784
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Country | US
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Telephone | 603-448-1941
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Fax | 603-448-6059
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Provider Business Mailing Address
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Address Line | 1 OAK RIDGE RD B11
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City | WEST LEBANON
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State | NH
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Zip | 03784
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Country | US
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Telephone | 603-448-1941
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Fax | 603-448-6059
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Authorized Official
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Title or Position | MEDICAL OFFICE STAFF
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Name | MELISSA LEVESQUE
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Credential | MA
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Telephone | 603-448-1941
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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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