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General NPI Number Information
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NPI Number | 1558223248
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Entity Type | Individual
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Provider Name | DOUGLAS J SOUZA NRCPT
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 168 S RIVER RD STE C
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City | BEDFORD
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State | NH
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Zip | 03110-6929
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Country | US
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Telephone | 207-977-6444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 462
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City | PITTSFIELD
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State | ME
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Zip | 04967-0462
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Country | US
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Telephone | 207-977-6444
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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 | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | Q5N9J9L8
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License Number State |
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Taxonomy #3
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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