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General NPI Number Information
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NPI Number | 1518961887
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Entity Type | Individual
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Provider Name | FRANCIS J PICCIONE D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 718 SMYTH RD VA MEDICAL CENTER 111/112
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City | MANCHESTER
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State | NH
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Zip | 03104-7007
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Country | US
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Telephone | 603-624-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 718 SMYTH RD VA MEDICAL CENTER 111/112
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City | MANCHESTER
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State | NH
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Zip | 03104-7007
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Country | US
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Telephone | 603-624-4366
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MB03694500
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License Number State | NJ
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