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General NPI Number Information
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NPI Number | 1568421840
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Entity Type | Organization
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Legal Business Name | CAPITAL ORTHOPEDIC SURGERY CENTER
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 116 LANGLEY PARKWAY
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-228-7211
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Fax | 603-228-7192
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Provider Business Mailing Address
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Address Line | PO BOX 10179
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City | CONCORD
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State | NH
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Zip | 03301-0179
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Country | US
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Telephone | 603-724-2444
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Fax | 603-724-2581
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. DONNA QUINN
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Credential |
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Telephone | 603-228-7211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 02816
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License Number State | NH
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