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General NPI Number Information
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NPI Number | 1568527158
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Entity Type | Organization
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Legal Business Name | CONCORD FEMINIST HEALTH CENTER DBA EQUALITY HEALTH CENTER
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 38 S MAIN ST
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City | CONCORD
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State | NH
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Zip | 03301-4817
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Country | US
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Telephone | 603-225-2739
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Fax | 603-228-6255
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Provider Business Mailing Address
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Address Line | 38 S MAIN ST
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City | CONCORD
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State | NH
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Zip | 03301-4817
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Country | US
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Telephone | 603-225-2739
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Fax | 603-228-6255
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DALIA VIDUNAS
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Credential | MSW
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Telephone | 603-225-2739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number |
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License Number State |
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