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General NPI Number Information
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NPI Number | 1528263472
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Entity Type | Organization
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Legal Business Name | PHILIP C. STEBBINS
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 184 MAMMOTH RD SUITE D
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City | LONDONDERRY
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State | NH
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Zip | 03053-3254
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Country | US
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Telephone | 603-965-4473
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Fax | 978-299-0121
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Provider Business Mailing Address
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Address Line | 184 MAMMOTH RD SUITE D
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City | LONDONDERRY
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State | NH
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Zip | 03053-3254
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Country | US
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Telephone | 603-965-4473
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Fax | 978-299-0121
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PHILIP C. STEBBINS
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Credential | M.D.
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Telephone | 603-401-6109
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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 | NH6432
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License Number State | NH
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