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General NPI Number Information
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NPI Number | 1528150273
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Entity Type | Organization
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Legal Business Name | CATHOLIC MEDICAL CENTER
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 100 MCGREGOR ST
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City | MANCHESTER
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State | NH
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Zip | 03102-3730
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Country | US
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Telephone | 603-663-8785
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MCGREGOR ST
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City | MANCHESTER
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State | NH
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Zip | 03102-3730
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Country | US
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Telephone | 603-663-8785
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Fax | 603-663-8757
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. ANDRE THERRIEN
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Credential |
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Telephone | 603-663-8779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 00626
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 00646
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License Number State | NH
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