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General NPI Number Information
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NPI Number | 1558470740
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Entity Type | Individual
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Provider Name | DAVID J. LONEY C.P., B.O.C.(O)
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 190 HANOVER ST STE 3A
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City | LEBANON
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State | NH
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Zip | 03766-1020
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Country | US
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Telephone | 603-252-6561
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Fax | 603-443-9972
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Provider Business Mailing Address
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Address Line | 190 HANOVER ST STE 3A
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City | LEBANON
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State | NH
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Zip | 03766-1020
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Country | US
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Telephone | 603-381-6561
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Fax | 603-443-9972
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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