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General NPI Number Information
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NPI Number | 1568465532
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Entity Type | Individual
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Provider Name | JOERG RATHMANN MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 SOUTHWOOD DR
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City | NASHUA
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State | NH
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Zip | 03063-1899
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Country | US
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Telephone | 603-577-4170
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 040849
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 040849
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 040849
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 10433
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License Number State | NH
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