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General NPI Number Information
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NPI Number | 1518250216
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Entity Type | Organization
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Legal Business Name | PAVIA ASSOCIATES INC
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 333 BORTHWICK AVE PORTSMOUTH REGIONAL HOSPITAL
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7128
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Country | US
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Telephone | 603-433-6994
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8216
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City | PORTSMOUTH
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State | NH
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Zip | 03802-8216
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Country | US
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Telephone | 603-569-2790
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Fax | 603-569-1084
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Authorized Official
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Title or Position | OWNER
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Name | DR. GAIL ANN SNOW
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Credential | M.D.
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Telephone | 603-569-2790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6401
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License Number State | NH
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